FCC Forms 479, 486 and 500 (business 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;

Documents and Forms

Document Name Document Type
Form FCC Form 479 FCC Forms 479, 486 and 500 (business entities) Form
Form 479 Instructions.pdf Instruction
Form 479 Instructions.pdf Instruction
Form 486 SS.pdf Other-FCC Form 486 Screen Shot
Form 486 SS.pdf Other-FCC Form 486 Screen Shot
FCC Form 479 Certification by Administrative Authority to Billed Enti Form 479.pdf Form
FCC Form 479 Certification by Administrative Authority to Billed Enti Form 479.pdf Form

Information Collection (IC) Details

IC Title:	FCC Forms 479, 486 and 500 (business entities)	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(c) 47 CFR 54.507(d) 47 CFR 54.513 47 CFR 54.520

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FCC Form 479	Certification by Administrative Authority to Billed Entity of Compliance with the Children’s Internet Protection Act	Form 479.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			Form 479 Instructions.pdf	Yes	Yes	Fillable Printable
Other-FCC Form 486 Screen Shot			Form 486 SS.pdf	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: 29,250	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 65 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	36,700	7,450	29,250
Annual IC Time Burden (Hours)	34,137	7,450	26,687
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.