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FCC Form 500 OMB Control No. 3060-0853 Estimated Average Burden Hours Per Response: 1.5 hours Universal Service for Schools and Libraries Funding Commitment Adjustment Request Form Instructions for
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How to fill out FCC Form 500 OMB:

01
Familiarize yourself with the purpose and requirements of FCC Form 500 OMB. This form is used to report contributions made to the Universal Service Administrative Company's (USAC) Schools and Libraries (E-Rate) Program.
02
Begin by entering the date and your contact information in the designated fields at the top of the form.
03
Provide information about the applicant or service provider, including their name, contact details, and entity type.
04
Indicate the type of form being submitted, whether it is an initial application, amendment, or invoice.
05
In section 1, provide the FCC Registration Number (FRN) and the Entity Identification Number (EIN) of the applicant or service provider.
06
Proceed to section 2, where you will need to enter information about the funding request, such as the funding year and the name of the school or library.
07
In section 3, specify the services being requested, including their descriptions, quantities, and monthly costs.
08
Section 4 requires the Estimated Total Cost of the services being sought, along with any discounts requested.
09
In section 5, provide details about the entities contributing to the funding request, including their names, FRNs, and monetary amounts.
10
Attach any necessary supporting documentation, such as a breakdown of costs or proof of eligibility.
11
Review the completed form for accuracy and completeness before submitting it to the proper authority.
12
Keep a copy of the filled out form for your records.

Who needs FCC Form 500 OMB?

01
Schools: Educational institutions, such as K-12 schools, public libraries, and consortia, that intend to receive funding for eligible services under the E-Rate Program.
02
Libraries: Public and private libraries that are seeking financial assistance for approved services.
03
Service providers: Companies or organizations that provide eligible services to schools and libraries and wish to seek reimbursement through the E-Rate Program.
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FCC Form 500 OMB is the required form used for universal service support reporting to the Federal Communications Commission (FCC).
Entities that receive universal service support must file FCC Form 500 OMB.
FCC Form 500 OMB can be filled out online through the Universal Service Administrative Company (USAC) website.
The purpose of FCC Form 500 OMB is to report on the use of universal service support funds.
Information such as the amount of universal service support received, how the funds were used, and other related details must be reported on FCC Form 500 OMB.
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