Universal Service: Health Care Providers Universal Service Program

ICR 199809-3060-016

OMB: 3060-0804

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3060-0804 199809-3060-016
Historical Active 199805-3060-006
FCC
Universal Service: Health Care Providers Universal Service Program
Revision of a currently approved collection   No
Emergency 09/29/1998
Approved without change 09/28/1998
Retrieve Notice of Action (NOA) 09/24/1998
  Inventory as of this Action Requested Previously Approved
05/31/1999 05/31/1999 07/31/2001
52,000 0 52,000
121,500 0 121,500
0 0 0

The Commission adopted rules providing support for all telecommunications services, limited distance charges, and Internet access for all eligible health care providers. Health care providers who want to participate in the universal service program must file the following forms: FCC-465 to request eligible services; form 466 to certify that the most cost effective method of providing the services has been requested; form 467a to confirm the receipt of the requested services; and form 468 to ensure that the proper amount of universal service support has been calculated.

None
None


No

1
IC Title Form No. Form Name
Universal Service: Health Care Providers Universal Service Program FCC-465, FCC-466, FCC-467, FCC-468

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 52,000 52,000 0 0 0 0
Annual Time Burden (Hours) 121,500 121,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/24/1998


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