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;

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
31206	FCC Forms 479, 486 and 500 (business entities) Form	Unchanged
207405	FCC Forms 479, 486 and 500 (state, local or tribal entities) Other-FCC Form 500 Screen Shot	Modified

ICR Details

OMB Control No: 3060-0853	ICR Reference No: 202602-3060-023
Status: Received in OIRA	Previous ICR Reference No: 202511-3060-025
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: 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;
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/04/2026

	Requested	Previously Approved
Expiration Date	01/31/2029	01/31/2029
Responses	94,203	94,203
Time Burden (Hours)	78,319	78,319
Cost Burden (Dollars)	0	0

---

Abstract: This submission is being made for non-substantive changes to an existing information collection pursuant to 44 U.S.C. § 3507. This submission seeks to make non-substantive changes by updating fields in the FCC Form 500, Funding Commitment Adjustment Request Form (FCC Form 500). First, we seek to add as a type of change, the option to change the invoicing method. Second, this submission seeks to remove the notification to USAC about transferred equipment as a type of change option in the FCC Form 500 because this notification is no longer required under program rules. The three forms serve the functions of the Universal Service Schools and Libraries Support Mechanism, 47 U.S.C. Sec. 254 et seq. They are used at the point were services provided pursuant to the program are implemented, or about to be implemented, and are a necessary prerequisite to the distribution of payments under the program. The forms ensure that Congressional mandates regarding safer access to the Internet by minors and adults are met.

---

Authorizing Statute(s): US Code: 47 USC 1302 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 151,154(i),155,201,205,214 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 219, 220, 254, 303(r), 403 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: PL: Pub.L. 106 - 554 215 Name of Law: Children's Internet Protection Act (CIPA)

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 96249	12/04/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 54684	11/28/2025
Did the Agency receive public comments on this ICR? Yes

---

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

IC Title	Form No.	Form Name
FCC Forms 479, 486 and 500 (business entities)	FCC Form 479, FCC Form 486	Certification by Administrative Authority to Billed Entity of Compliance with the Children’s Internet Protection Act ,   Receipt of Service Confirmation and Children’s Internet Protection Act and Technology Plan Certification Form (Form 486)
FCC Forms 479, 486 and 500 (state, local or tribal entities)

---

ICR Summary of Burden

	Total Request	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	94,203	94,203	0	0	0	0
Annual Time Burden (Hours)	78,319	78,319	0	0	0	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 annual burden hours within this submission. The adjustment is due to updated information on actual submissions of the FCC Forms 479, 486, and 500, and the change in the number of respondents. For the FCC Form 486: the number of respondents increased by 616 from 20,000 to 20,616; the number of responses decreased by 4,832 from 33,000 to 28,168; and the annual hour burden decreased by 4,756 from 33,000 to 28,244. For the FCC Form 500: the number of respondents increased by 2,794 from 1,000 to 3,794; the number of responses increased by 3,535 from 2,900 to 6,435; and the annual burden hours increased by 3,550 from 2,900 to 6,450. Updating and Maintaining the Internet Safety Policy: the number of respondents and the number of responses increased by 800 from 20,500 to 21,300, and the annual burden hours increased by 600 from 15,375 to 15,975. Overall, for the adjustments, the number of respondents increased by 25,510 from 58,500 to 84,010, the number of responses increased by 20,803 from 73,400 to 94,203, and the total annual hourly burden increased by 10,044 from 68,275 to 78,319. There are no hourly burden changes to the FCC Form 479.

---

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

---

Common Form ICR:  No

---

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: 03/04/2026

---

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].