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Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms
Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms
OMB: 3060-0856
IC ID: 31231
OMB.report
FCC
OMB 3060-0856
ICR 202102-3060-002
IC 31231
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0856 can be found here:
2022-03-04 - Extension without change of a currently approved collection
2021-02-04 - No material or nonsubstantive change to a currently approved collection
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
3060-0856 Form 473 1.25.21.clean rev.docx
Other-Screenshot FCC Form 473
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
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-FCC Form 472 Screenshot
FCC_Form 472_Screenshots_1.2.19.docx
Yes
Yes
Fillable Fileable Signable
Other-FCC Form 473 Screenshots
FCC_Form 473_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
Other-Screenshot FCC Form 473
3060-0856 Form 473 1.25.21.clean rev.docx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
79,000
0
0
0
0
79,000
Annual IC Time Burden (Hours)
79,000
0
0
0
0
79,000
Annual IC Cost Burden (Dollars)
0
0
0
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.