Looking for a Fcc Form Templates? Download it for free!

OMB Control No. 3060-0853

Name of Administrative Authority _________________________________________________________________

Administrative Authority’s Form Identifier __________________________________________________________

Contact Person _________________________________________________________________________

Telephone Number______________________________________________________________________________

Block 2: Certifications and Signature (Continued)

6. I certify that as of the date of the start of discounted services:

the recipient(s) of service under my administrative authority and represented in the Funding Request Number(s)

for which you have requested or received Funding Commitments has (have) complied with the requirements of

the Children’s Internet Protection Act, as codified at 47 U.S.C. § 254(h) and (l).

pursuant to the Children’s Internet Protection Act, as codified at 47 U.S.C. § 254(h) and (l), the recipient(s) of

service under my administrative authority and represented in the Funding Request Number(s) for which you

have requested or received Funding Commitments:

(FOR SCHOOLS and FOR LIBRARIES IN THE FIRST FUNDING YEAR FOR PURPOSES OF CIPA) is

(are) undertaking such actions, including any necessary procurement procedures, to comply with the

requirements of CIPA for the next funding year, but has (have) not completed all requirements of CIPA for

this funding year.

(FOR FUNDING YEAR 2003 ONLY: FOR LIBRARIES IN THE SECOND OR THIRD FUNDING YEAR FOR

PURPOSES OF CIPA) is (are) in compliance with the requirements of CIPA under 47 U.S.C. § 254(l) and

undertaking such actions, including any necessary procurement procedures, to comply with the

requirements of CIPA under 47 U.S.C. § 254(h) for the next funding year.

the Children’s Internet Protection Act, as codified at 47 U.S.C. § 254(h) and (l), does not apply because the

recipient(s) of service under my administrative authority and represented in the Funding Request Number(s) for

which you have requested or received Funding Commitments is (are) receiving discount services only for

telecommunications services.

CIPA Waiver. Check the box below if you are requesting a waiver of CIPA requirements for the Second Funding Year

after the recipients of service under your administrative authority have applied for discounts:

I am providing notification that, as of the date of the start of discounted services, I am unable to make the

certifications required by the Children’s Internet Protection Act, as codified at 47 U.S.C. § 254(h) and (l),

because my state or local procurement rules or regulations or competitive bidding requirements prevent the

making of the certification(s) otherwise required. I certify that the recipient(s) of service under my administrative

authority and represented in the Funding Request Number(s) for which you have requested or received Funding

Commitments will be brought into compliance with the CIPA requirements before the start of the Third Funding

Year in which they apply for discounts.

(CIPA WAIVER FOR LIBRARIES FOR FUNDING YEAR 2004. Check the box above if you are requesting this waiver

of CIPA requirements for Funding Year 2004 for the library(ies) under your administrative authority that has (have)

applied for discounts for Funding Year 2004. By checking this box, you are certifying that the library(ies) represented

in the Funding Request Number(s) on this FCC Form 479 will be brought into compliance with the CIPA requirements

before the start of the Funding Year 2005.)

The certification language above is not intended to fully set forth or explain all the requirements of the statute.

7. Signature of authorized person

8. Date

9. Printed name of authorized person

10. Title or position of authorized person

11. Telephone number of authorized person

Page 2 of 3

FCC Form 479

December 2013

Fcc Form 479 - Certification By Administrative Authority To Billed Entity Of Compliance With The Children'S Internet Protection Act Page 2

Related Articles

Related forms

Related Categories