Information Collection

Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Privacy Sector

IC 212991 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⚠️ Notice: This information collection may be referencing outdated material.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
0806_2015 FCC Form 471 Instructions FINAL v3_091214.docx	Instruction
FCC 471 Services Ordered and Certification 0806_2015 FCC Form 471 FINAL_091214.doc	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Privacy Sector

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

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
Instruction			0806_2015 FCC Form 471 Instructions FINAL v3_091214.docx		Yes	Yes	Printable Only
Form	FCC 471	Services Ordered and Certification	0806_2015 FCC Form 471 FINAL_091214.doc		Yes	Yes	Fillable Fileable Signable

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: 9,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	9,000	9,000
Annual IC Time Burden (Hours)	40,500	40,500
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.