FCC Forms 479, 486 and 500 (state, local or tribal 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: 207405

Information Collection (IC) Details

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FCC 500 Funding Commitment Adjustment Request Form 0853 FCC Form 500 (FY 2015 and earlier) 10 6 16.doc Yes Yes Fillable Fileable Signable
Instruction 0853 Instructions FCC Form 500 (FY2015 and earlier) 10 6 16.docx Yes Yes Fillable Printable
Other-Screenshot FCC Form 500 Form Table (FY2016 and later) (10 7 16) .docx Yes Yes Fillable Fileable Signable

Education Elementary, Secondary, and Vocational Education

 

31,850 0
   
State, Local, and Tribal Governments
 
   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 31,850 0 -6,250 -7,250 0 45,350
Annual IC Time Burden (Hours) 29,288 0 -17,599 -5,438 0 52,325
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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