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

Forms and Documents

Document Name	Status
Form Form 470 Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector Form	Modified
Form Form 471 Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector Form	Modified
Form Form 471 Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments Form	Modified
Form Form 470 Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government Form	Modified
3060-0806 SS (Form 471 Revision_final 2015).docx Supporting Statement A	2015-10-30

IC Document Collections

IC ID	Document Title	Status
31061	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector Form	Modified
212991	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector Form	Modified
212990	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments Form	Modified
212989	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government Form	Modified

ICR Details

OMB Control No: 3060-0806	ICR Reference No: 201510-3060-011
Status: Historical Active	Previous ICR Reference No: 201504-3060-027
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: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/02/2015
	Date Received in OIRA: 10/30/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	12/31/2015
Responses	82,090	0	82,000
Time Burden (Hours)	334,405	0	334,000
Cost Burden (Dollars)	0	0	0

---

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 describe the services requested and ordered by schools and libraries under the program.

---

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

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AF85	Final or interim final rulemaking	80 FR 5961	02/04/2015

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 48102	08/11/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 66902	10/30/2015
Did the Agency receive public comments on this ICR? No

---

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

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

---

ICR Summary 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	82,090	82,000	0	90	0	0
Annual Time Burden (Hours)	334,405	334,000	0	405	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: In this submission, the total number of respondents decreased by 29,300, the total number of responses increased by 90, and the total burden hours increased by 405. These changes were the result of using the actual Form 470 and Form 471 data provided by USAC, as opposed to using estimated numbers. According to the actual data, an applicant files 1.4 forms for Forms 470 and 1.7 forms for the 471. The Commission determined that when considered in the aggregate, implementing program changes through revisions to FCC Form 471 at that same time the application filing process is being streamlined through the online portal result in de minimis changes in the burden hours for this information collection.

---

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

---

Common Form ICR:  No

---

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: 10/30/2015

---