FCC Form Approval by OMB
3060-0806
470 Schools and Libraries Universal Service
Description of Services Requested
and Certification Form

Estimated Average Burden Hours Per Response: 4.0 hours

This form is designed to help you describe the eligible telecommunications-related services you seek so that this data can be posted on the Fund Administrator website and interested service providers can identify you as a potential customer and compete to serve you.
Please read instructions before beginning this application. (To be completed by entity that will negotiate with providers.)
Block 1: Applicant Address and Identifications
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