Information Collection

Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms

IC 31231 under ICR 202502-3060-016 · OMB 3060-0856.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 472 and F Universal Service - Schools and Libraries Universal Service Program Reimbursement Forms	Form and Instruction
Form FCC Form 472 and F 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	Form and Instruction
FCC Form 472 and F FCC Form 472 – Billed Entity Applicant Reimbursement For Revision 3060-0856 FCC Form 472-474.3.5.25.clean.docx	Form and Instruction
FCC Form 472 and F FCC Form 472 – Billed Entity Applicant Reimbursement For Revision 3060-0856 WiFi Hotspots FCC Forms 472-474 11.20.25.clean.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

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

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 472 and FCC Form 474				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: 13,976

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: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	66,607	18,357	48,250
Annual IC Time Burden (Hours)	96,672	24,297	72,375
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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