Universal Service - Rural Health Care Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0804 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 460 Universal Service - Rural Health Care Program Form and Instruction
FCC Form 460 RHC- Healthcare Connect Fund Program - Description of El 2019 FCC Form 460 for OMB submission.6.29.16.docx Form and Instruction
FCC Form 461 RHC - Healthcare Connect Fund Program - Description of R 2019 FCC Form 461 for OMB submission.docx Form and Instruction
FCC Form 462 RHC - Healthcare Connect Fund Program - Description of R 2019 FCC Form 462 for OMB submission.docx Form and Instruction
FCC Form 463 RHC - Healthcare Connect Fund Program - Description of R 2019 FCC Form 463 for OMB submission.docx Form and Instruction
FCC Form 465 RHC - Telecommunications Program - Description of Eligib 2019 FCC Form 465 for OMB submission.docx Form and Instruction
FCC Form 466 RHC - Telecommunications Program - Description of Reques 2019 FCC Form 466 for OMB submission.docx Form and Instruction
FCC Form 467 RHC - Telecommunications Program - Description of Reques 2019 FCC Form 467 for OMB submission.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Universal Service - Rural Health Care Program	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.600 - 54.680

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 460	RHC- Healthcare Connect Fund Program - Description of Eligibility and Registration	2019 FCC Form 460 for OMB submission.6.29.16.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 461	RHC - Healthcare Connect Fund Program - Description of Request for Services	2019 FCC Form 461 for OMB submission.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 462	RHC - Healthcare Connect Fund Program - Description of Request for Funding	2019 FCC Form 462 for OMB submission.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 463	RHC - Healthcare Connect Fund Program - Description of Request for Funding Disbursement	2019 FCC Form 463 for OMB submission.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 465	RHC - Telecommunications Program - Description of Eligibility and Request for Services	2019 FCC Form 465 for OMB submission.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 466	RHC - Telecommunications Program - Description of Request for Funding	2019 FCC Form 466 for OMB submission.docx	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 467	RHC - Telecommunications Program - Description of Request for Funding Disbursement	2019 FCC Form 467 for OMB submission.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,771	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	39,014	-223	-6,711	45,948
Annual IC Time Burden (Hours)	91,697	-201	-4,586	96,484
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

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.