Information Collection

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

IC 212989 under ICR 201504-3060-027 · OMB 3060-0806.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form FCC 470 Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government Form
FCC 470 Description of Services Requested and Certification - Fi FY 2016 FCC Form 470 for OMB submission (final).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: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.523 47 CFR 54.5 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 54.500(a) - (r) 47 CFR 54.511(a) 47 CFR 54.516 47 CFR 54.519 47 CFR 54.502(a) - (d) 47 CFR 54.501(a) - (c)

Information Collection 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 - Field Description	FY 2016 FCC Form 470 for OMB submission (final).docx		Yes	Yes	Fillable Fileable Signable

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 %

	Approved	Previously Approved
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

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.