Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms

Forms and Documents

Document	Type	Status	Availability
Form FCC Form 472 and F FCC Form 472 – Billed Entity Applicant Reimbursement Form and FCC Form 474 – Service Provider Invoice Form	Form and Instruction	Modified	Available
Form FCC Form 472 and F Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	Form and Instruction	Modified	Repair queued
Form FCC Form 473 Service Provider Annual Certification	Form and Instruction	Modified	Available
Form FCC Form 473 Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	Form and Instruction	Modified	Available
Revision 3060-0856 WiFi Hotspots SS_November 2025 Final Version.docx	Supporting Statement A	Uploaded 2025-11-24	Repair queued
Revision 3060-0856 SS.3.5.25.clean (002).docx	Supporting Statement A	Uploaded 2025-03-06	Repair queued
2025 Form Comments as filed 2025_02_03.pdf	Public Comments	Uploaded 2025-03-03	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
31231	Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	Form and Instruction	Modified	FCC Form 472 – Billed Entity Applicant Reimbursement Form and FCC Form 474 – Service Provider Invoice Form
31231	Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	Form and Instruction	Modified
191854	Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	Form and Instruction	Modified	Service Provider Annual Certification
191854	Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	Form and Instruction	Modified

ICR Details

OMB Control No: 3060-0856	ICR Reference No: 202502-3060-016
Status: Active	Previous ICR Reference No: 202202-3060-014
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/08/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/06/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2028	36 Months From Approved	12/31/2025
Responses	133,214	0	96,500
Time Burden (Hours)	193,344	0	144,750
Cost Burden (Dollars)	0	0	0

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Abstract: The Telecommunications Act of 1996 provides that discounts on eligible services and equipment will be provided to eligible schools and libraries, as well as consortia of schools and libraries. FCC Forms 472, 473, and 474 facilitate the reimbursement process by allowing applicants and service providers to request reimbursement of the discounted costs of services and equipment provided to eligible entities and provide certifications regarding receipt of the services and equipment and other program requirements.

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Authorizing Statute(s): US Code: 47 USC 214, 254, 312(d), 312(f), 403 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 503(b) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 1, 4(i), 4(j), 201-205 Name of Law: Communications Act of 1934, as amended
   US Code: 15 USC 1, 632
   US Code: 44 USC 3506(c)(4)
   US Code: 5 USC 553(b)(3), 601-612
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3060-AK57	Final or interim final rulemaking	89 FR 67303	08/20/2024

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 96245	12/04/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 11320	03/05/2025
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	FCC Form 472 and FCC Form 474	FCC Form 472 – Billed Entity Applicant Reimbursement Form and FCC Form 474 – Service Provider Invoice Form
Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	FCC Form 473	Service Provider Annual Certification

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ICR Summary 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	133,214	96,500	0	0	36,714	0
Annual Time Burden (Hours)	193,344	144,750	0	0	48,594	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: The Commission is reporting an adjustment to the total burden hours within this submission. The adjustment is due to updated information on actual submissions of the FCC Form 472, FCC Form 473, and FCC Form 474, and the change in number of respondents. For FCC Form 472: the number of respondents decreased by 1,085 from 9,500 to 8,415; responses decreased by 3,255 from 28,500 to 25,245; and annual burden hours decreased by 4,882 from 42,750 to 37,868. For FCC Form 473: the number of respondents and responses decreased by 458 from 5,000 to 4,542; and the annual burden hours decreased by 687 from 7,500 to 6,813. For FCC Form 474: the number of respondents decreased by 61 from 2,100 to 2,039; the number of responses increased by 27,470 from 63,000 to 90,470; and the annual burden hours increased by 41,206 from 94,500 to 135,706. Overall, for the adjustments, the number of respondents increased by 11,353 from 16,600 to 27,953, the number of responses increased by 36,714 from 96,500 to 133,214, and the total annual burden increased by 48,594 from 144,750 to 193,344.

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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: 03/06/2025

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