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Schools and Libraries Universal Service Receipt of Service Confirmation Form 486 (fr_ERateSvcConfirmationForm486)

Description

The Schools and Libraries Universal Service Receipt of Service Confirmation Form 486 is used to confirm the start date of "E-Rate" services and products that are eligible for universal service discounts. The form is filed with the USAC (Universal Service Administrative Company) by the "billed entity" (the organization which filed an FCC Form 471, Services Ordered and Certification Form, on behalf of an eligible school, school district, library outlet/branch, or library system, or a consoritium of these entities). The Form 486 informs the Universal Service Administrative Company (USAC) when the "billed entity" (and/or the eligible entities that it represents) is receiving, is scheduled to receive, or has received service in the relevant funding year from the named service provider(s).


Data Set Items

    Applicant Form Identifier - The code to identify this form 486. The code is created by the "billed entity" (the organization filing the form.)


Approval Organization Names - The names of organizations that approved a technology plan for any eligible entity that is receiving services covered under the Form 486. If all Funding Request Numbers (FRNs) listed on Form 486 are for basic telephone service only, enter "NONE."


Billed Entity Number - The "billed entity number" provided should correspond with the number which appears on the Funding Commitment Decision Letter (FCDL) issued by the Universal Service Administrative Company (USAC).


CIPA Compliance Status - A status (TRUE) indicates that the "billed entity" certifies that the entities represented by Form 486 have complied with the requirements of the Children's Internet Protection Act. If the "billed entity" is not a receipent of service, the entry is blank.

Code Set:

  • FALSE - The "billed entity" disagrees with the statement, or has no response
  • TRUE - The "billed entity" agrees with the statement


CIPA Libraries Waiver Request Status - A status (TRUE) indicates that the "billed entity" is the Administrative Authority for libraries represented by the form for funding year 2004, for purposes of Children's Internet Protection Act (CIPA), and that the entity requested a waiver of CIPA requirements for the libraries. The "billed entity" notes that: 1) it is unable to make the certifications required by the Children's Internet Protection Act (CIPA); and 2) the "billed entity" libraries will be brought into compliance before the start of funding year 2005.

Code Set:

  • FALSE - Indicates no response or that the "billed entity" disagrees with the statement
  • TRUE - Indicates that the "billed entity" agrees with the statement


CIPA Not Applicable Status - A status (TRUE) indicates that the "billed entity" certifies that the Children's Internet Protection Act (CIPA) does not apply because the entities represented by Form 486 are receiving discount services only for telecommunications services.

Code Set:

  • TRUE - The "billed entity" agrees with the statement
  • FALSER - The "billed entity" disagrees with the statement, or has no response


CIPA Waiver Request Status - A status (TRUE) indicates that the "billed entity" is the Administrative Authority for the purposes of Children's Internet Protection Act (CIPA) and that the entity requested a waiver of requirements for the second funding year after 2001. The "billed entity" notes that: 1) it is unable to make the certifications required by the Children's Internet Protection Act (CIPA) because ; and 2) the "billed entity" schools and libraries will be brought into compliance before the start of the third funding year.

Code Set:

  • FALSE - Indicates no response or that the "billed entity" disagrees with the statement
  • TRUE - Indicates that the "billed entity" agrees with the statement


CIPA Waiver Requested Status - A status (TRUE) indicates that the the "billed entity" for a consortium where some or all eligible consortium members checked Form 479 Item 6d or 6e to seek a CIPA waiver.

Code Set:

  • TRUE - The "billed entity" agrees with the statement
  • FALSER - The "billed entity" disagrees with the statement, or has no response


City Address - The city in the billed entity's mailing address.


Consortium Forms 479 Status - A status (TRUE) indicates that the the "billed entity" for a consortium has received completed and signed Forms 479 for all eligible members of the consortium. (Form 479 is the "Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act".)

Code Set:

  • TRUE - The "billed entity" agrees with the statement
  • FALSER - The "billed entity" disagrees with the statement, or has no response


Contact Email Address - The contact person's email address.


Contact Fax Number - The fax number for the contact person.


Contact Mailing Address - The complete mailing address of the contact person for questions about this form, including street address, P.O. box, or route number, if different from the "billed entity" mailing address.


Contact Person City Address - The city for the mailing address of the contact person for questions.


Contact Person Name - The name of the person who should be contacted with questions.


Contact Person State Address - The state for the mailing address of the contact person for questions.


Contact Person Zip Code - The Zip code for the mailing address of the contact person for questions.


Contact Telephone Number - The telephone number of the contact person, including extension.


Disadvantaged Share Status - A status (TRUE) indicates that the "billed entity" certifies that the entities represented by Form 486 receive the discount level based on assurances that the most disadvantaged schools and libraries receive an appropriate share of benefits from those services; and 2) that the "billed entity" may be audited and must retain all records (including Form 479(pertaining to the application for five years.

Code Set:

  • FALSE - The "billed entity" disagrees with the statement, or has no response
  • TRUE - The "billed entity" agrees with the statement


Early Filing Status - A status (TRUE) indicates that 1) the Funding Requests on this Form 486 have been approved by USAC, and the approval is documented on a Funding Commitment Decision Letter (FCDL), and 2) the applicant has confirmed with service provider(s) identified on the Funding Requests that the services will start on or before July 31 of the Funding Year.

Code Set:

  • FALSE - Indicates no response or that the "billed entity" disagrees with the statement
  • TRUE - Indicates that the "billed entity" agrees with the statement


Email Address of Authorized Person - The electronic mail address of the authorized person for the "billed entity" who signed Form 486.


Fax Number - The fax number for contacting the billed entity.


Fax Number of Authorized Person - The fax number of the authorized person for the "billed entity" who signed Form 486.


Form 471 Application Number - The Form 471 Application Number from the Funding Decision Confirmation Letter (FCDL). (The FCDL is issued by the Universal Service Administration Company (USAC).)


Form 486 Application Number - The number assigned to this application by the Universal Service Administrative Company (USAC).


Funding Request Number - The Form 471 Funding Request Number (FRN) from the Funding Decision Confirmation (FCDL). (The FCDL is issued by the Universal Service Administration Company (USAC).)


Funding Year - The funding year for which the funds were approved. The entries are two four-digit years (e.g., "2001" and "2002"), where the year begins on July 1, and ends on June 30 of the following calendar year.


Funding Year Service Start Date - The date on which the service for the FRN (funding request number) started or is scheduled to start (month, day, and four-digit year format - mm/dd/yyyy). This date cannot be earlier than the first day of the funding year (July 1).


Mailing Address - The complete mailing address of the "billed entity" including street address, P.O. box, or route number.


Name of Billed Entity - The name of the "billed entity". The "billed entity" name should correspond with the name on the Funding Commitment Decision Letter (FCDL) issued by the Universal Service Administrative Company (USAC).


No CIPA Waivers Requested Status - A status (TRUE) indicates that the the "billed entity" for a consortium where no eligible consortium members checked Form 479 Item 6d or 6e to seek a CIPA waiver.

Code Set:

  • TRUE - The "billed entity" agrees with the statement
  • FALSER - The "billed entity" disagrees with the statement, or has no response


Preferred Mode of Contact - The preferred mode of contact for the contact person, with at least one option selected.

Code Set:

  • - Email address
  • - Fax number
  • - Telephone number


Printed Name of Authorized Person - The printed name of the authorized person for the "billed entity" who signed Form 486.


Procurement Compliance Status - A status (TRUE) indicates that the "billed entity" certifies that the entities represented by Form 486 are taking actions to comply with CIPA requirements, where not all requirements have been met.

Code Set:

  • TRUE - The "billed entity" agrees with the statement
  • FALSER - The "billed entity" disagrees with the statement, or has no response


Service Contractual Status - A status (TRUE) indicates that the "billed entity" certifies 1) that the entities represented by Form 486 are being served; 2) that the services are covered by signed contracts unless the services are provided on a "tariff or month-to-month basis;" and 3) that statements included in Form 486 are true.

Code Set:

  • FALSE - Indicates no response or that the "billed entity" disagrees with the statement
  • TRUE - Indicates that the "billed entity" agrees with the statement


Service Provider Identification Number - The Form 471 Service Provider Identification Number from the Funding Decision Confirmation Letter (FCDL). (The FCDL is issued by the Universal Service Administration Company (USAC).)


Service Provider Name - The Form 471 Service Provider Name from the Funding Decision Confirmation Letter (FCDL). (The FCDL is issued by the Universal Service Administration Company (USAC).)


Signature of Authorized Person - The required signature of the authorized person for the "billed entity."


State Address - The state in the billed entity's mailing address.


Street Address of Authorized Person - The street address, P.O. box, or route number, city, state and zip code of the authorized person for the "billed entity" who signed Form 486.


Technology Plan Status - A status (TRUE) indicates that the "billed entity" certifies that the entities represented by Form 486 are covered by technology plan(s) that have been approved by a state or other authorized bodies prior to commencement of service and that the approved plans cover all 12 months of the funding year.

Code Set:

  • FALSE - Indicates no response or that the "billed entity" disagrees with the statement
  • TRUE - Indicates that the "billed entity" agrees with the statement


Telephone Number(Click the link to view the associated Common Attribute) - The telephone number for the "billed entity".


Telephone Number Extension - The telephone number extension for the "billed entity."


Telephone Number of Authorized Person - The telephone number with area code and extension (if applicable) for the authorized person for the "billed entity" who signed Form 486.


Title of Authorized Person - The title or position of the authorized person for the "billed entity" who signed Form 486.


Zip Code(Click the link to view the associated Common Attribute) - The Zip code for the "billed entity" mailing address.




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National Center for Education Statistics - http://nces.ed.gov
U.S. Department of Education