Information Collection

Video Relay Service Program

IC 197537 under ICR 201205-3060-011 · OMB 3060-1150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-1150 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Video Relay Service Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 64.606 47 CFR 64.604

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 Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	89	35	54
Annual IC Time Burden (Hours)	934	34	900
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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