Information Collection

FCC Forms 479, 486 and 500 (state, local or tribal entities)

IC 207405 under ICR 202602-3060-023 · OMB 3060-0853.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FCC Form 500 Screen Shots.11.19.25.docx	Other-FCC Form 500 Screen Shot
FCC Form 500 Request Screenshots 2.20.26.docx	Other-Screenshots FCC Form 500

IC Title:

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 54.513 47 CFR 54.520 47 CFR 54.507(d) 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
Other-FCC Form 500 Screen Shot					Yes	Yes	Fillable Fileable Signable
Other-Screenshots FCC Form 500					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: 42,005

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	47,102	47,102
Annual IC Time Burden (Hours)	39,160	39,160
Annual IC Cost Burden (Dollars)	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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