FCC Forms 479, 486 and 500 (state, local or tribal entities)

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;

FCC Form 500 PRA Screen Shots 4_22_2021

FCC Forms 479, 486 and 500 (state, local or tribal entities)

OMB: 3060-0853

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3060-0853 can be found here:

2022-09-23 - Extension without change of a currently approved collection

Document [docx]

Download: docx | pdf

FCC Form 500 Screenshots

OMB Control No. 3060-0853

Estimated time per response: 1 hour

FCC Form 500

The below screenshots are examples of where language referencing equipment transfers will be removed from the FCC Form 500 as filed within the E-Rate Productivity Center (EPC).

Respondents will no longer have to notify USAC that they have moved equipment to another location.

Respondents will no longer be asked to use the FCC Form 500 to notify the Administrator about an equipment transfer. The in the below screens in EPC will be removed.

[Month] 2021

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Philip Ahn
File Modified	0000-00-00
File Created	2021-06-08