Universal Service - Schools and Libraries Universal Service Program, FCC Forms 470 and 471

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC 470 Description of Services Requested and Certification Form - Field Descriptions	Form	Modified	Available
Form FCC 471 Description of Services Requested and Certification Form - Field Descriptions	Form	Modified	Repair queued
DA-18-444A1.pdf	Supplementary Document	Uploaded 2018-12-13	Available
3060-0806 SS (Revision Forms 470 and 471) revised 12.12.2018 CLEAN.docx	Supporting Statement A	Uploaded 2018-12-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
31061	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	Form	Modified	Description of Services Requested and Certification Form - Field Descriptions
31061	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	Other-Profiles and Connectivity Questions	Modified
212991	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector	Other-Form 471_C2_Intake_ Screenshot	Modified
212990	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments	Form	Modified	Description of Services Requested and Certification Form - Field Descriptions
212989	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government	Other-Form 470_C1 Screenshot	Modified

ICR Details

OMB Control No: 3060-0806	ICR Reference No: 201809-3060-008
Status: Historical Active	Previous ICR Reference No: 201803-3060-012
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Universal Service - Schools and Libraries Universal Service Program, FCC Forms 470 and 471
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/19/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/03/2018
Terms of Clearance: Updated supporting statement during review.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2021	36 Months From Approved	12/31/2018
Responses	67,100	0	82,090
Time Burden (Hours)	273,950	0	334,405
Cost Burden (Dollars)	0	0	0

---

Abstract: In 1997 the Commission adopted rules providing support for the Universal Service Schools and Libraries Support Mechanism (E-rate Program). FCC Forms 470 and 471 are required to describe the services requested and ordered by schools and libraries under the program.

---

Authorizing Statute(s): US Code: 47 USC 218-220
   US Code: 47 USC 403
   US Code: 47 USC 405
   US Code: 47 USC 151-154
   US Code: 47 USC 201-205
   US Code: 47 USC 254
   US Code: 47 USC 303(r)
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AK57	Final or interim final rulemaking	80 FR 5961	02/04/2015

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 23677	05/22/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 49926	10/02/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	FCC 470	Description of Services Requested and Certification Form - Field Descriptions
Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government
Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector
Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments	FCC 471	Description of Services Requested and Certification Form - Field Descriptions

---

ICR Summary of Burden

table that charts list 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	67,100	82,090	0	0	-14,990	0
Annual Time Burden (Hours)	273,950	334,405	0	0	-60,455	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: No

Burden Reduction Due to:

Short Statement: There are adjustments/decreases to this information collection. Based on current USAC data on the FCC Forms 470 and 471, the Commission has determined that there will be a decrease in the number of respondents and annual responses resulting in a decrease in the burden hours for this information collection. Since funding year 2016 there has been a drop in the number of unique filers, which has resulted in a decrease in the overall burden hours associated with this information collection.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 10/03/2018

---