Information Collection

Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms

IC 191854 under ICR 202202-3060-014 · OMB 3060-0856.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0856 can be found here:

Documents and Forms

Document Name Document Type
FCC_Form 474_Screenshots_1.2.19.docx Other-FCC Form 474 Screenshot
FCC_Form 474_Screenshots_1.2.19.docx Other-FCC Form 474 Screenshot

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 54.508 47 CFR 54.520 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 474 Screenshot			FCC_Form 474_Screenshots_1.2.19.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	48,250	-30,750	79,000
Annual IC Time Burden (Hours)	72,375	-6,625	79,000
Annual IC Cost Burden (Dollars)	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.