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⚠️ Notice: This information collection may be referencing outdated material.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
3060-0806 FCC Form 471(FY2021) Non-Substantive Change Screen Shots.8.13.20_final .docx Other-Screenshot - FCC 471 (FY2021)

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 54.502(a) - (d) 47 CFR 54.511(a) 47 CFR 54.516(a)-(d) 47 CFR 54.519(a)-(b) 47 CFR 54.5 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-Form 471_C2_Intake_ Screenshot	FCC Form 471_C2_Intake.pdf	Yes	Yes	Fillable Fileable Signable
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-Screenshot - FCC 471 (FY2021)	3060-0806 FCC Form 471(FY2021) Non-Substantive Change Screen Shots.8.13.20_final .docx	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	Previously Approved
Annual Number of Responses for this IC	16,775	16,775
Annual IC Time Burden (Hours)	68,488	68,488
Annual IC Cost Burden (Dollars)	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.