Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector

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⚠️ Notice: This information collection may be referencing outdated material.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 471_C2_Intake.pdf Other-Form 471_C2_Intake_ Screenshot
Fiber Request Key Information_Screenshots (sem).docx Other-Screenshot_Fiber Request Key I
FCC Form 471_C1_Intake.pdf Other-Form 471_C1_Intake_Screenshot

Information Collection (IC) Details

IC Title:	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector	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 54.511(a) 47 CFR 54.516(a)-(d) 47 CFR 54.519(a)-(b) 47 CFR 54.5 47 CFR 54.502(a) - (d) 47 CFR 54.501(a) - (c) 47 CFR 54.503(a) - (e) 47 CFR 54.500 47 CFR 54.507(b) - (f) 47 CFR 54.504(a) - (f) 47 CFR 54.505(a) - (f)

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshot_Fiber Request Key Info	Fiber Request Key Information_Screenshots (sem).docx	Yes	Yes	Fillable Fileable Signable
Other-Form 471_C1_Intake_Screenshot	FCC Form 471_C1_Intake.pdf	Yes	Yes	Fillable Fileable Signable
Other-Form 471_C2_Intake_ Screenshot	FCC Form 471_C2_Intake.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: Private Sector	Private Sector: Not-for-profit institutions

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	7,775	9,000
Annual IC Time Burden (Hours)	68,488	27,988	40,500
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.