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;

Forms and Documents

Document Name	Status
Form FCC 479 FCC Forms 479, 486 and 500 (business entities) Form	Modified
Form FCC 500 FCC Forms 479, 486 and 500 (state, local or tribal entities) Form	Modified
3060-0853 SS 2016 (final).doc Supporting Statement A	2016-10-18
FCC-14-99A1.pdf Supporting Statement B	2016-09-23
Multiple Collections Non Substantive Change Request (June 2016).doc Justification for No Material/Nonsubstantive Change	2016-06-24
3060-0853 Explanation of Non-Substantive Changes 2016.doc Justification for No Material/Nonsubstantive Change	2016-05-16

IC Document Collections

IC ID	Document Title	Status
31206	FCC Forms 479, 486 and 500 (business entities) Form	Modified
207405	FCC Forms 479, 486 and 500 (state, local or tribal entities) Form	Modified

ICR Details

OMB Control No: 3060-0853	ICR Reference No: 201609-3060-003
Status: Historical Active	Previous ICR Reference No: 201606-3060-023
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: 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;
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: 12/15/2016
	Date Received in OIRA: 10/18/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2016
Responses	63,700	0	90,700
Time Burden (Hours)	58,575	0	104,650
Cost Burden (Dollars)	0	0	0

---

Abstract: The three forms serve the functions of the Universal Service Schools and Libraries Support Mechanism, 47 U.S.C. Sec. 254 et seq. They are used at the point were services provided pursuant to the program are implemented, or about to be implemented, and are a necessary prerequisite to the distribution of payments under the program. The forms ensure that congressional mandates regarding safer access to the Internet by minors and adults are met.

---

Authorizing Statute(s): US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: PL: Pub.L. 106 - 554 215 Name of Law: Children's Internet Protection Act (CIPA)

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AF85	Final or interim final rulemaking	79 FR 49160	08/19/2014

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 50495	08/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 71728	10/18/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
FCC Forms 479, 486 and 500 (business entities)	FCC 479, FCC 486	Certification by Administrative Authority to Billed Entity of Compliance with the Children’s Internet Protection Act ,   Receipt of Service Confirmation and Children’s Internet Protection Act and Technology Plan Certification Form
FCC Forms 479, 486 and 500 (state, local or tribal entities)	FCC 500	Funding Commitment Adjustment Request Form

---

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	63,700	90,700	0	-12,500	-14,500	0
Annual Time Burden (Hours)	58,575	104,650	0	-35,200	-10,875	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Using Information Technology

Short Statement: The Commission is reporting program changes/decreases to this information collection. There are program changes/decrease to the number of respondents by -12,500, total annual responses by -12,500 and total annual burden hours by -35,200 which are due to the impact of the removal of the technology plan certification on the FCC Form 486 for funding year 2016 and later and the new availability of the FCC Forms 486 and 500 through an online platform. Also, the Commission is reporting adjustments/decreases to this information collection. These adjustments/decreases are to the number of respondents by -14,500, total annual responses by -14,500 and total annual burden hours by -10,875; these were overstated in the Commission’s previous submissions to OMB.

---

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: 10/18/2016

---