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Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector
Universal Service - Schools and Libraries Universal Service Program, FCC Forms 470 and 471
OMB: 3060-0806
IC ID: 212991
OMB.report
FCC
OMB 3060-0806
ICR 201502-3060-028
IC 212991
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0806 can be found here:
2024-09-30 - Extension without change of a currently approved collection
2023-09-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
3060-0806 2015 FCC Form 471 Instructions FINAL.pdf
Instruction
FCC 471 Services Ordered and Certification
3060-0806 2015 Form 471 FINAL.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
47 CFR 54.516
47 CFR 54.519
47 CFR 54.5
47 CFR 54.502(a) - (d)
47 CFR 54.501(a) - (c)
47 CFR 54.523
47 CFR 54.503(a) - (e)
47 CFR 54.500(a) - (r)
47 CFR 54.504(a) - (f)
47 CFR 54.505(a) - (f)
47 CFR 54.509(a)
47 CFR 54.511(a)
47 CFR 54.507(b) - (f)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
3060-0806 2015 FCC Form 471 Instructions FINAL.pdf
Yes
Yes
Printable Only
Form
FCC 471
Services Ordered and Certification
3060-0806 2015 Form 471 FINAL.pdf
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
9,000
0
0
0
0
9,000
Annual IC Time Burden (Hours)
40,500
0
0
0
0
40,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.