Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0856 can be found here:

Documents and Forms

Document Name Document Type
FCC_Form 472_Screenshots_1.2.19.docx Other-FCC Form 472 Screenshot
FCC_Form 473_Screenshots_1.2.19.docx Other-FCC Form 473 Screenshots
FCC_Form 474_Screenshots_1.2.19.docx Other-FCC Form 474 Screenshot

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	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 54.516 47 CFR 54.520 47 CFR 54.508 47 CFR 54.504

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-FCC Form 473 Screenshots	FCC_Form 473_Screenshots_1.2.19.docx	Yes	Yes	Fillable Fileable Signable
Other-FCC Form 472 Screenshot	FCC_Form 472_Screenshots_1.2.19.docx	Yes	Yes	Fillable Fileable Signable
Other-FCC Form 474 Screenshot	FCC_Form 474_Screenshots_1.2.19.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, 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	79,000	-5,450	84,450
Annual IC Time Burden (Hours)	79,000	-5,450	84,450
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.