Information Collection

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

IC 212991 under ICR 201512-3060-017 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form 471 Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector Form
Form 471 Description of Services Requested and Certification - Fi 3060-0806 FCC Form 471 Revision field descriptions (2015).docx 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: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.509(a) 47 CFR 54.511(a) 47 CFR 54.507(b) - (f) 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)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form 471	Description of Services Requested and Certification - Field Description	3060-0806 FCC Form 471 Revision field descriptions (2015).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: 9,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
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

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.