Universal Service - Rural Health Care Program

Universal Service - Rural Health Care Program

OMB: 3060-0804

IC ID: 199666

Information Collection (IC) Details

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Universal Service - Rural Health Care Program WCB
 
No Modified
 
Required to Obtain or Retain Benefits
 
47 CFR 54.600 - 54.633

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Post Commitment Form (FY2021) Attachment 1 - (11.8.19) Post-Commitment Request Form - Effective FY 2021 (4.7.20).docx Yes Yes Fillable Fileable Signable
Other-Post Commitment Form Attachment 1 - (11.8.19) Post-Commitment Request Form - Effective upon OMB approval (4.7.20).docx Yes Yes Fillable Fileable Signable
Other-CMHC - Certification Checklist Attachment 3 - RHC CMHC-Certification-Checklist (4.3.20).docx Yes Yes Fillable Fileable Signable

Health Health Care Services

 

3,498 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 31,229 0 1,467 -9,252 0 39,014
Annual IC Time Burden (Hours) 127,580 0 31,257 4,626 0 91,697
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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