Information Collection

Sections 95.1111 and 95.1113, Wireless Medical Telemetry Service

IC 31448 under ICR 201002-3060-019 · OMB 3060-0953.

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Information Collection (IC) Details

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IC Title:	Sections 95.1111 and 95.1113, Wireless Medical Telemetry Service	Agency IC Tracking Number:	OET

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 95.1119 47 CFR 95.1111 47 CFR 95.1121 47 CFR 95.1129 47 CFR 95.1109 47 CFR 95.1113

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,728	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,728	228	2,500
Annual IC Time Burden (Hours)	10,912	912	10,000
Annual IC Cost Burden (Dollars)	545,600	45,600	500,000

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.