Universal Service - Rural Health Care Program

Universal Service - Rural Health Care Program

OMB: 3060-0804

IC ID: 31049

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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 - 54.633

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FCC Form 460 RHC, HCFP, Description of Eligibility and Registration 2020 FCC Form 460 for OMB submission.11.7.19_RHC.effective upon OMB approval (4.3.20).docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 461 RHC, HFCP, Description of Request for Services (FY2020) 2020 FCC Form 461 for OMB submission.11.7.19_RHC.effective FY2020 (4.3.20).docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 463 RHC, HCFP, Description of Request for Funding Disbursement (FY2020) 2020 FCC Form 463 for OMB submission.effective FY2020.11.7.19 (4.7.20).docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 463 RHC, HCFP, Description of Request for Funding Disbursement (FY2021+) 2020 FCC Form 463 for OMB submission.effective FY2021.11.7.19 (4.7.20) .docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 465 RHC, Telecommunications Program, Description of Eligibility and Request for Services (FY2020) 2020 FCC Form 465 for OMB submission.11.7.19_RHC.effective FY2020 (4.3.20).docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 465 RHC, Telecommunications Program Description of Eligibility and Request for Services (FY 2021+) 2020 FCC Form 465 for OMB submission.11.7.19_RHC.effective FY2021 and beyond (4.3.20).docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 466 RHC, Telecommunications Program Description of Request for Funding (FY2020) 2020 FCC Form 466 for OMB submission.11.7.19_RHC.effective FY2020 (4.3.20).docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 466 RHC, Telecommunications Program, Description of Request for Funding (FY2021+) 2020 FCC Form 466 for OMB submission.11.7.19_RHC.effective FY2021 and beyond (4.3.20).docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 461 RHC, HCFP, Description of Request for Services (FY2021+) 2020 FCC Form 461 for OMB submission.11.7.19_RHC.effective FY2021 and beyond (4.3.20).docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 462 RHC, HCFP, Description of Request for Funding (FY2020+) 2020 FCC Form 462 for OMB submission.11.7.19_RHC.effective FY2020 and beyond (4.3.20).docx Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 467 RHC, Telecommunications Program, Connection Certification Form (FY2020+) 2020 FCC Form 467 for OMB submission.11.7.19_RHC.effective FY2020 and beyond (4.3.20).docx Yes Yes Fillable Fileable Signable

Health Health Care Services

 

3,498 0
   
State, Local, and Tribal Governments
 
   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 4,627 0 91,696
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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