Information Collection

Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government

IC 212989 under ICR 202103-3060-011 · OMB 3060-0806.

⚠️ Notice: This information collection may be referencing outdated material.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

2026-06-25 - No material or nonsubstantive change to a currently approved collection
2025-12-09 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FCC Form 470_C1_Intake_FY2019.pdf	Other-Form 470_C1 Screenshot
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
FCC Form 470_C2_Intake_FY2019.pdf	Other-Form 470_C2_Intake Screenshot

Information Collection (IC) Details

View Information Collection (IC)

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: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.503(a) - (e) 47 CFR 54.519 (a)-(b) 47 CFR 54.5 47 CFR 54.502(a) - (d) 47 CFR 54.501(a) - (c) 47 CFR 54.507(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)

Information Collection Instruments:

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

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	16,775	16,775
Annual IC Time Burden (Hours)	68,487	68,487
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.