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Each Block 5 funding request on the FCC Form 471 (Description of Services Ordered and Certification Form) must include a description of the products and services for which discounts are sought. This description is known as an Item 21 Attachment. Beginning with Funding Year (FY) 2011, Item 21 Attachments must be submitted no later than the close of the FCC Form 471 application filing window.
Several different formats are possible for the Item 21 Attachments. However, the Item 21 Attachments generally consists of these parts:
Applicants often receive the assistance of service providers in creating the Item 21 Attachments, which can be one or more of the following:
The instructions for FCC Form 471 indicate that internal connections funding requests must include information about where the physical components will be located. This is often the same as the location of entities that are receiving service, as indicated in Block 4 of FCC Form 471. In some cases, components can be installed in a location different than the entity receiving service, such as when components are located at a district office but serve the needs of one or more separate schools.
Examples of information that specify the physical location of internal connections products could be:
The examples below provide acceptable layouts and relevant information for the Item 21 Attachment.
In addition to the above examples, an applicant may submit a previous, representative bill for telephone services or may include a listing of the previous year's charges in order to substantiate these charges for the next funding year (FY). To avoid delays in the review of your application, please ensure that the type of service is specified on your bill (local, long distance, cellular service, etc.) and the number of phone lines is given. This information may be handwritten on the bill by the applicant if it does not already appear.
View an Item 21 Attachment that is based on a representative previous phone bill.
The Item 21 Attachment can be submitted online or manually submitted to USAC by email, fax, U.S. mail, courier, or as part of an FCC Form 471 application or FCC Form 471 Block 6 certification submitted on paper. It is preferable for you to use no more than one of these methods to submit your Item 21 Attachments.
For example, if you submit both an online and paper Item 21 Attachment but there are differences between the two documents with regard to items, cost, or ineligibles, the processing of your application will be delayed.
The attachment should include this information:
If the Item 21 Attachment is being submitted separately from the FCC Form 471, then the attachment or a cover letter must also include:
The Item 21 Attachment must be received before USAC can begin review of an FCC Form 471 application. For FY2011 the Item 21 Attachment is a window filing requirement and must be filed in a timely fashion so that USAC can review the information, make a determination of product and service eligibility, and provide a prompt funding decision.
If at the time of application review, the reviewer fails to see that an Item 21 Attachment has been filed, they may contact the applicant and request that this information be provided.
Do not send submissions via email other than FCC Form 471 Item 21 Attachments. Documents may be sent in most commercially available word processing or spreadsheet formats. Scanned documents may also be sent (Tagged Image File Format (TIFF) is preferred). Total file size of the email message must be less than 10 Megabytes. If you have more than one FCC Form 471 application, do not combine Item 21 Attachments from other FCC Form 471 applications in the same email message.
Send submissions via fax to (973) 599-6511. Do not send submissions other than FCC Form 471 Item 21 Attachments to this fax number.
Form 471-Item 21 Attachment
PO Box 7026
Lawrence, KS 66044-7026
ATTN: Form 471-Item 21 Attachment
3833 Greenway Drive
Lawrence, KS 66046
Phone: (888) 203-8100
All certifications provided as a part of the FCC Form 471 also apply to the Item 21 Attachment including certifications of compliance with state and local procurement laws and compliance with Schools and Libraries Program rules. Misrepresentations on the Item 21 Attachment might result in administrative and criminal penalties described in FCC Form 471 Block 6 Certifications.
The previous examples illustrate relatively straightforward funding requests. Additional information is useful or necessary in many cases.
For example, the following information submitted without further details would not be sufficient for USAC to make a positive funding determination:
In this example, USAC would need to request further information about the specific products (make and model) being purchased and the details of the requested technical services. USAC also may request copies of service provider quotes, a specific listing of the modules or specifications for a product and copies of contracts.
USAC's review process also requires further information when funding requests include the following components or configurations:
For example, if you are requesting a PBX system or other internal connections components, please make sure to include the list of components that make up the PBX along with the appropriate make and model numbers.
The eligibility of network file servers depends on the use of the servers. Therefore, USAC will not approve funding requests for file servers unless the specific uses of the file servers are detailed (e.g., network, email, web, etc.) and the make and model are provided. In addition, file server costs should be allocated appropriately between eligible and any ineligible uses.
For projects that have service provider infrastructure with up-front capital costs greater than $500,000, the initial capital costs must be amortized over at least a three-year period. View an Item 21 Attachment that shows the amortization of capital costs.
The use of Schools and Libraries Program support for the build out of a service provider's infrastructure is limited. The FCC has recognized that some business arrangements between an applicant and service provider, even if labeled a lease of services, can reach essentially the same result as a prohibited WAN purchase by applicants. USAC will not commit to support on such arrangements.
In limited circumstances, some types of equipment located at the applicant site can be funded as a part of an "end-to-end" telecommunications or Internet access service. Depending on the complexity of the request, the Item 21 Attachment for such funding requests may consist of two to four components:
In cases where the above information is not provided, USAC may request further information during review of the application. View an Item 21 Attachment that specifies on-premise Priority 1 components.