Information Collection

Registration and Documentation of Disability for Eligibility to Use IP Captioned Telephone Service

IC 205676 under ICR 201302-3060-002 · OMB 3060-1182.

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Information Collection (IC) Details

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IC Title:	Registration and Documentation of Disability for Eligibility to Use IP Captioned Telephone Service	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 64.604(c)(9)

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: 6,002	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	9,000	9,000
Annual IC Cost Burden (Dollars)	300,000	300,000

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.