Certification by Administrative Authority to Billed Entity Compliance with the Children's Internet Protection Act Form; Certification of Compliance with the CIPA and Technology Plan Requirements Form;

Forms and Documents

Document Name	Status
Form FCC 479 FCC Forms 479, 486 and 500 (business entities) Form	Unchanged
non-substantive change request - Form 500 4.22.21.docx Justification for No Material/Nonsubstantive Change	2021-04-22
3060-0853 SS_Extension_final version.docx Supporting Statement A	2019-10-08

IC Document Collections

IC ID	Document Title	Status
31206	FCC Forms 479, 486 and 500 (business entities) Form	Unchanged
207405	FCC Forms 479, 486 and 500 (state, local or tribal entities) Other-FCC Form 500 Screen Shot	Modified

ICR Details

OMB Control No: 3060-0853	ICR Reference No: 202104-3060-007
Status: Received in OIRA	Previous ICR Reference No: 201908-3060-007
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Certification by Administrative Authority to Billed Entity Compliance with the Children's Internet Protection Act Form; Certification of Compliance with the CIPA and Technology Plan Requirements Form;
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/22/2021

	Requested	Previously Approved
Expiration Date	12/31/2022	12/31/2022
Responses	58,500	58,500
Time Burden (Hours)	53,375	53,375
Cost Burden (Dollars)	0	0

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Abstract: This submission is being made for proposed non-substantive changes to an existing information collection pursuant to 44 U.S.C. § 3507. This submission seeks to make minor, non-substantive changes to the FCC Form 500 (Funding Commitment Adjustment Request Form) and the instructions for filing out the form. These changes are being made pursuant to the Commission’s Category Two Report and Order that eliminated the requirement for applicants to notify the Universal Service Administrative Company (USAC) regarding equipment transfers and modified how category two funding budgets are set, monitored, and reported. These changes will reduce administrative burdens on E-Rate program applicants. The form is electronically available through an online database, and a representative sample of the information requested from respondents is included with this submission. The three forms serve the functions of the Universal Service Schools and Libraries Support Mechanism, 47 U.S.C. Sec. 254 et seq. They are used at the point were services provided pursuant to the program are implemented, or about to be implemented, and are a necessary prerequisite to the distribution of payments under the program. The forms ensure that Congressional mandates regarding safer access to the Internet by minors and adults are met.

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Authorizing Statute(s): US Code: 47 USC 151,154(i),155,201,205,214 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 219, 220, 254, 303(r), 403 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 1302 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: PL: Pub.L. 106 - 554 215 Name of Law: Children's Internet Protection Act (CIPA)

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 36599	09/29/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 53724	10/08/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
FCC Forms 479, 486 and 500 (business entities)	FCC 479	Certification by Administrative Authority to Billed Entity of Compliance with the Children’s Internet Protection Act
FCC Forms 479, 486 and 500 (state, local or tribal entities)

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	58,500	58,500	0	0	0	0
Annual Time Burden (Hours)	53,375	53,375	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/22/2021

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