ACP Device Information Form

Connected Device Specifications

Form Instructions:

Please enter the following specifications for the device you would like to offer through the Affordable Connectivity Program (ACP). Additionally, provide the specifications of three analogous devices.

The device being offered by the provider cannot be from a manufacturer on the List of Equipment and Services Covered By Section 2 of The Secure Networks Act.

If you have any trouble completing this form or have any questions, please email ACProgram@usac.org.

1. Provider Name *This question is required.

2. Provider SPIN *This question is required. This question requires a valid number format.

3. Contact Name *This question is required.

4. Contact Phone Number *This question is required. This question requires a valid number format.

5. Contact Email Address *This question is required.

6. Device Type *This question is required.

Device Information *This question is required.

Space Cell	Offered Device
Make (Brand) *This question is required	Make (Brand): Offered Device
Model Name *This question is required	Model Name: Offered Device
Model Number *This question is required	Model Number: Offered Device
GB of Memory (RAM) *This question is required	GB of Memory (RAM): Offered Device
GB of Storage (ROM) *This question is required	GB of Storage (ROM): Offered Device
Processor Speed (GHz) *This question is required	Processor Speed (GHz): Offered Device
Market Value *This question is required	Market Value: Offered Device

Device Information

Space Cell	Offered Device
Make (Brand) *This question is required	Make (Brand): Offered Device
Model Name *This question is required	Model Name: Offered Device
Model Number *This question is required	Model Number: Offered Device
Processor Speed (GHz) *This question is required	Processor Speed (GHz): Offered Device
GB of Memory (RAM) *This question is required	GB of Memory (RAM): Offered Device
GB of Storage (ROM) *This question is required	GB of Storage (ROM): Offered Device
Front Camera Resolution (MP) *This question is required	Front Camera Resolution (MP): Offered Device
Rear Camera Resolution (MP) *This question is required	Rear Camera Resolution (MP): Offered Device
Market Value *This question is required	Market Value: Offered Device
Screen Resolution (pixels)	Screen Resolution (pixels): Offered Device
Screen Size (in.)	Screen Size (in.): Offered Device
Operating System Platform	Operating System Platform: Offered Device
Release Year	Release Year: Offered Device

7. Submission Type *This question is required.

8. As required by the FCC, this device supports video conferencing platforms and other software essential to ensure full participation in online learning, is Wi-Fi enabled, has video and camera functions, and is accessible to and usable by those with disabilities.
*This question is required.

9. This device cannot independently make cellular calls, or, this featured is disabled by the carrier.
*This question is required.

10. Please upload any additional documentation (screenshots, etc.) for the offered device.

Accepts up to 3 files
Allowed types: png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf, txt, mov, mp3, mp4
Max file size: 50 MB

File: {{filename}} delete