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 Forms 470 and 471

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0806 can be found here:

Documents and Forms

Document Name Document Type
FCC Form 470_C1_Intake_FY2019.pdf Other-Form 470_C1 Screenshot
FCC Form 470_C2_Intake_FY2019.pdf Other-Form 470_C2_Intake Screenshot

Information Collection (IC) Details

IC Title:	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government	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 54.507(b) - (f) 47 CFR 54.504(a) - (f) 47 CFR 54.505(a) - (f) 47 CFR 54.500 47 CFR 54.511(a) 47 CFR 54.516 (a)-(d) 47 CFR 54.519 (a)-(b) 47 CFR 54.5 47 CFR 54.503(a) - (e) 47 CFR 54.502(a) - (d) 47 CFR 54.501(a) - (c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Form 470_C2_Intake Screenshot			FCC Form 470_C2_Intake_FY2019.pdf		Yes	Yes	Fillable Fileable Signable
Other-Form 470_C1 Screenshot			FCC Form 470_C1_Intake_FY2019.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,750	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	16,775	-12,315	29,090
Annual IC Time Burden (Hours)	68,487	-33,418	101,905
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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