Universal Service - Health Care Providers Universal Service Program

ICR 200003-3060-004

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 200003-3060-004
Historical Active 199903-3060-007
FCC
Universal Service - Health Care Providers Universal Service Program
Revision of a currently approved collection   No
Emergency 03/06/2000
Approved without change 03/07/2000
Retrieve Notice of Action (NOA) 03/03/2000
  Inventory as of this Action Requested Previously Approved
09/30/2000 09/30/2000 05/31/2002
14,700 0 52,000
58,050 0 121,500
0 0 0

The Commission adopted rules providing support for all telecommunications services. Internet access, and internal connections for all eligible health care providers. Health care providers who want to participate in the universal service program must file several forms, one being FCC Form 465. FCC Form 465 is being revised in this OMB request.

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 14,700 52,000 0 0 -37,300 0
Annual Time Burden (Hours) 58,050 121,500 0 0 -63,450 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.
03/03/2000


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