Universal Service - Schools and Libraries Universal Service Program, FCC Forms 470 and 471

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form 470 Description of Serves Requested and Certification Form	Form	Modified	Available
Form FCC 471 Services Ordered and Certification	Form	Modified	Available
Form FCC 471 Services Ordered and Certification	Form	Modified	Available
Form FCC 470 Description of Services Requested and Certification	Form	Modified	Available
3060-0806 SS 2015 (1).doc	Supporting Statement A	Uploaded 2015-02-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
31061	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	Form	Modified	Description of Serves Requested and Certification Form
31061	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	Instruction	Modified
212991	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector	Form	Modified	Services Ordered and Certification
212991	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector	Instruction	Modified
212990	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments	Form	Modified	Services Ordered and Certification
212990	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments	Instruction	Modified
212989	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government	Form	Modified	Description of Services Requested and Certification
212989	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government	Instruction	Modified

ICR Details

OMB Control No: 3060-0806	ICR Reference No: 201502-3060-028
Status: Historical Active	Previous ICR Reference No: 201409-3060-007
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Universal Service - Schools and Libraries Universal Service Program, FCC Forms 470 and 471
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/28/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/25/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2018	36 Months From Approved	04/30/2015
Responses	82,000	0	82,000
Time Burden (Hours)	334,000	0	334,000
Cost Burden (Dollars)	0	0	0

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Abstract: In 1997 the Commission adopted rules providing support for the Universal Service Schools and Libraries Support Mechanism (E-rate Program). FCC Forms 470 and 471 are required to determine eligibility by schools and libraries for discounts under the program, so that they can purchase telecommunications services, Internet access, internal connections, and maintenance services.

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Authorizing Statute(s): US Code: 47 USC 201-205
   US Code: 47 USC 218-220
   US Code: 47 USC 254
   US Code: 47 USC 303(r)
   US Code: 47 USC 403
   US Code: 47 USC 405
   US Code: 47 USC 151-154
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 74085	12/15/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 10093	02/25/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	Form 470	Description of Serves Requested and Certification Form
Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government	FCC 470	Description of Services Requested and Certification
Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector	FCC 471	Services Ordered and Certification
Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments	FCC 471	Services Ordered and Certification

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	82,000	82,000	0	0	0	0
Annual Time Burden (Hours)	334,000	334,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/25/2015

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