Information Collection

Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government

IC 212989 under ICR 201409-3060-007 · OMB 3060-0806.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0806 can be found here:

2026-06-25 - No material or nonsubstantive change to a currently approved collection
2025-12-09 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC 470 Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government	Form
0806_2015 FCC Form 470 instructions FINAL v2_091214.docx	Instruction
FCC 470 Description of Services Requested and Certification 0806_2015 FCC Form 470 FINAL_091214.docx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.509(a) 47 CFR 54.500(a) - (r) 47 CFR 54.511(a) 47 CFR 54.516 47 CFR 54.519 47 CFR 54.523 47 CFR 54.5 47 CFR 54.502(a) - (d) 47 CFR 54.501(a) - (c) 47 CFR 54.503(a) - (e) 47 CFR 54.504(a) - (f) 47 CFR 54.505(a) - (f) 47 CFR 54.507(b) - (f)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC 470	Description of Services Requested and Certification	0806_2015 FCC Form 470 FINAL_091214.docx		Yes	Yes	Fillable Fileable Signable
Instruction			0806_2015 FCC Form 470 instructions FINAL v2_091214.docx		Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 29,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	29,000	29,000
Annual IC Time Burden (Hours)	101,500	101,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.