Universal Service - Rural Health Care Program

Universal Service - Rural Health Care Program

OMB: 3060-0804

IC ID: 31049

Information Collection (IC) Details

View Information Collection (IC)

Universal Service - Rural Health Care Program WCB
 
No Modified
 
Required to Obtain or Retain Benefits
 
47 CFR 54.600 - 54.680

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Checklist 0804_Attachment 1 - Community Mental Health Center Checklist_062813.docx Yes Yes Fillable Fileable Signable
Other-Excel spreadsheet 0804_Attachment 2 - Telecom Program Invoice Template_062813.xls Yes Yes Fillable Fileable Signable
Other-Excel spreadsheet 0804_Attachment 3 - RHC Pilot Program Invoice Template_062813.xls Yes Yes Fillable Fileable Signable
Other-Excel spreadsheet 0804_Attachment 4 - FCC 465 Attachment Spreadsheet_062813.xls Yes Yes Fillable Fileable Signable
Other-Template 0804_Attachment 5 - Letter of Agency Template_062813.doc Yes Yes Fillable Fileable Signable
Other-Template 0804_Attachment 6 - Transfer of Letter of Agency Template_062813.docx Yes Yes Fillable Fileable Signable
Other-Excel spreadsheet 0804_Attachment 7 - FCC 466-A Attachment Spreadsheet_062813.xls Yes Yes Fillable Fileable Signable
Other-Excel worksheet 0804_Attachment 8 - Network Cost Worksheet_062813.xls Yes Yes Fillable Fileable Signable

Health Health Care Services

 

3,666 0
   
State, Local, and Tribal Governments
 
   98 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 18,015 0 0 0 0 18,015
Annual IC Time Burden (Hours) 21,847 0 0 0 0 21,847
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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