Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms

Documents and Forms

Document Name Document Type
FCC_Form 472_Screenshots_1.2.19.docx Other-FCC Form 472 Screenshot
FCC_Form 472_Screenshots_1.2.19.docx Other-FCC Form 472 Screenshot
Supply Chain Order FCC Form 473 Update.docx Other-Screenshot: FCC Form 473
Supply Chain Order FCC Form 473 Update.docx Other-Screenshot: FCC Form 473

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 54.520 47 CFR 54.516 47 CFR 54.508 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 472 Screenshot			FCC_Form 472_Screenshots_1.2.19.docx		Yes	Yes	Fillable Fileable Signable
Other-Screenshot: FCC Form 473			Supply Chain Order FCC Form 473 Update.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: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	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.