Information Collection

Hearing Aid Compatibility Status Report and Section 20.19, Hearing Aid-Compatible Mobile Handsets (Hearing Aid Compatibility Act)

IC 31563 under ICR 202108-3060-004 · OMB 3060-0999.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0999 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FCC Form 655 Hearing Aid Compatibility Status Report and Section 20.19, Hearing Aid-Compatible Mobile Handsets (Hearing Aid Compatibility Act)	Form and Instruction
FCC Form 655 Hearing Aid Compatibility Status Report FCC Form 655 Instructions OMB 3060-0999 (2021).docx	Form and Instruction
FCC Form 655 Hearing Aid Compatibility Status Report FCC Form 655 Instructions OMB 3060-0999 (2021).docx	Form and Instruction
FCC Form 855 HEARING AID COMPATIBILITY CERTIFICATION FOR SERVICE PROV FCC Form 855 Instructions OMB 3060-0999 (2021).docx	Form and Instruction
FCC Form 855 HEARING AID COMPATIBILITY CERTIFICATION FOR SERVICE PROV FCC Form 855 Instructions OMB 3060-0999 (2021).docx	Form and Instruction

IC Title:

Hearing Aid Compatibility Status Report and Section 20.19, Hearing Aid-Compatible Mobile Handsets (Hearing Aid Compatibility Act)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 0.241 47 CFR 20.19(e), (f), (h)(1), (i) 47 CFR 0.331

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 655	Hearing Aid Compatibility Status Report	FCC Form 655 Instructions OMB 3060-0999 (2021).docx		Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 855	HEARING AID COMPATIBILITY CERTIFICATION FOR SERVICE PROVIDERS	FCC Form 855 Instructions OMB 3060-0999 (2021).docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 934

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	934	934
Annual IC Time Burden (Hours)	13,049	13,049
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.