FCC Forms 479, 486 and 500 (business entities)

Certification by Administrative Authority to Billed Entity Compliance with the Children's Internet Protection Act Form; Certification of Compliance with the CIPA and Technology Plan Requirements Form;

OMB: 3060-0853

IC ID: 31206

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Instruction
Instruction
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FCC Forms 479, 486 and 500 (business entities) WCB
 
No Modified
 
Required to Obtain or Retain Benefits
 
47 CFR 54.516 47 CFR 54.508(c) 47 CFR 54.507(d) 47 CFR 54.513 47 CFR 54.520

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FCC 479 Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act 0853 FCC Form 479_122713.doc No   Printable Only
Instruction 0853 Instructions FCC Form 479_122713.docx No   Printable Only
Form FCC 486 Receipt of Service Confirmation and Children's Internet Protection Act and Technology Plan Certification Form 0853 FCC Form 486_122713.doc Yes Yes Fillable Fileable
Instruction 0853 Instructions FCC Form 486_122713.docx Yes Yes Fillable Fileable
Form FCC 500 Funding Commitment Adjustment Request Form 0853 FCC Form 500_122713.doc No   Printable Only
Instruction 0853 Instructions FCC Form 500 2013_122713.docx No   Printable Only
Form FCC 486 Receipt of Service Confirmation and Children's Internet Protection Act and Technology Plan Certification 486.pdf Yes Yes Fillable Fileable Signable
Form FCC 500 Funding Commitment Adjustment Request Form 500.pdf Yes Yes Fillable Fileable Signable
Other-Screenshot Certifications #1.png Yes Yes Fillable Fileable Signable
Other-Screenshot Certifications #2.png Yes Yes Fillable Fileable Signable
Other-Screenshot Certifications #3.png Yes Yes Fillable Fileable Signable
Other-Screenshot Certifications #4.png Yes Yes Fillable Fileable Signable
Other-Screenshot Certifications #5.png Yes Yes Fillable Fileable Signable

Education Elementary, Secondary, and Vocational Education

 

45,350 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   65 %

  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 45,350 0 0 0 0 45,350
Annual IC Time Burden (Hours) 52,325 0 0 0 0 52,325
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Non-substantive changes to FCC Forms 479, 486, and 500 and Instructions 0853_Nonsubstantive ChangeAbstract_122713_final.doc 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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