Information Collection

FCC Forms 479, 486 and 500 (business entities)

IC 31206 under ICR 201605-3060-008 · OMB 3060-0853.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0853 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC 479 Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act FCC Forms 479, 486 and 500 (business entities)	Form
Form FCC 486 Receipt of Service Confirmation and Children's Internet Protection Act and Technology Plan Certification Form FCC Forms 479, 486 and 500 (business entities)	Form
Form FCC 500 Funding Commitment Adjustment Request Form FCC Forms 479, 486 and 500 (business entities)	Form
Form FCC 486 Receipt of Service Confirmation and Children's Internet Protection Act and Technology Plan Certification FCC Forms 479, 486 and 500 (business entities)	Form
Form FCC 500 Funding Commitment Adjustment Request Form FCC Forms 479, 486 and 500 (business entities)	Form
0853 Instructions FCC Form 479_122713.docx	Instruction
0853 Instructions FCC Form 486_122713.docx	Instruction
0853 Instructions FCC Form 500 2013_122713.docx	Instruction
Certifications #1.png	Other-Screenshot
Certifications #2.png	Other-Screenshot
Certifications #3.png	Other-Screenshot
Certifications #4.png	Other-Screenshot
Certifications #5.png	Other-Screenshot
FCC 479 Certification by Administrative Authority to Billed Enti 0853 FCC Form 479_122713.doc	Form
FCC 486 Receipt of Service Confirmation and Children's Internet 0853 FCC Form 486_122713.doc	Form
FCC 500 Funding Commitment Adjustment Request Form 0853 FCC Form 500_122713.doc	Form
FCC 486 Receipt of Service Confirmation and Children's Internet 486.pdf	Form
FCC 500 Funding Commitment Adjustment Request Form 500.pdf	Form
0853_Nonsubstantive ChangeAbstract_122713_final.doc Non-substantive changes to FCC Forms 479, 486, and 500 and Instructions	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

FCC Forms 479, 486 and 500 (business entities)

Agency IC Tracking Number:

WCB

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 54.508(c) 47 CFR 54.507(d) 47 CFR 54.513 47 CFR 54.520

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC 479	No		Printable Only
Instruction		No		Printable Only
Form	FCC 486	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Form	FCC 500	No		Printable Only
Instruction		No		Printable Only
Form	FCC 486	Yes	Yes	Fillable Fileable Signable
Form	FCC 500	Yes	Yes	Fillable Fileable Signable
Other-Screenshot		Yes	Yes	Fillable Fileable Signable
Other-Screenshot		Yes	Yes	Fillable Fileable Signable
Other-Screenshot		Yes	Yes	Fillable Fileable Signable
Other-Screenshot		Yes	Yes	Fillable Fileable Signable
Other-Screenshot		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45,350

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	45,350	45,350
Annual IC Time Burden (Hours)	52,325	52,325
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Non-substantive changes to FCC Forms 479, 486, and 500 and Instructions		12/27/2013

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

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