Form 479 provides notification to a Billed Entity by an Administrative Authority of the status of the Administrative Authority's compliance for the purposes of CIPA. The Billed Entity will then certify on its Receipt of Service Confirmation Form (Form 486), that it has collected duly completed and signed Forms 479 from Administrative Authorities that the Billed Entity represents. Form 479 also provides notification to the Billed Entity of a request for waiver by the Administrative Authority.

Form 479
Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act

Estimated Average Burden Hours, FIRST TIME: 15 hours
For Subsequent Submissions: 1.5 hours
Download Form:    89kb
Download Instructions:  58kb