Universal Service - Schools and Libraries Universal Service Program, FCC Forms 470 and 471

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FCC 470 Description of Services Requested and Certification Form - Field Descriptions	Form	Modified	Available
Form FCC 470 Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	Form	Modified	Repair queued
Form FCC 471 Description of Services Requested and Certification Form - Field Descriptions	Form	Modified	Available
Form FCC 471 Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments	Form	Modified	Repair queued
3060-0806 SS (Extension Forms 470 and 471)_final version .docx	Supporting Statement A	Uploaded 2021-09-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
31061	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	Form	Modified	Description of Services Requested and Certification Form - Field Descriptions
31061	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	Form	Modified
212991	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector		Unchanged
212990	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments	Form	Modified	Description of Services Requested and Certification Form - Field Descriptions
212990	Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments	Form	Modified
212989	Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government		Unchanged

ICR Details

OMB Control No: 3060-0806	ICR Reference No: 202109-3060-005
Status: Historical Active	Previous ICR Reference No: 202104-3060-009
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Universal Service - Schools and Libraries Universal Service Program, FCC Forms 470 and 471
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/16/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/27/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2024	36 Months From Approved	12/31/2021
Responses	67,100	0	67,100
Time Burden (Hours)	273,950	0	273,950
Cost Burden (Dollars)	0	0	0

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Abstract: In 1997 the Commission adopted rules providing support for the Universal Service Schools and Libraries Support Mechanism (E-rate Program). FCC Forms 470 and 471 are required to describe the services requested and ordered by schools and libraries under the program.

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Authorizing Statute(s): US Code: 47 USC 151-154
   US Code: 47 USC 201-205
   US Code: 47 USC 254
   US Code: 47 USC 303(r)
   US Code: 47 USC 218-220
   US Code: 47 USC 403
   US Code: 47 USC 405
  

Citations for New Statutory Requirements: None

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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:
	86 FR 38481	07/21/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 53299	09/27/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, Private Sector	FCC 470	Description of Services Requested and Certification Form - Field Descriptions
Universal Service - Schools and Libraries Universal Service Program - FCC Form 470, State, Local, or Tribal Government
Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, Private Sector
Universal Service - Schools and Libraries Universal Service Program, FCC Form 471, State, Local, or Tribal Governments	FCC 471	Description of Services Requested and Certification Form - Field Descriptions

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	67,100	67,100	0	0	0	0
Annual Time Burden (Hours)	273,950	273,950	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: 09/27/2021

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