Federal Government

Universal Service - Rural Health Care Program

OMB: 3060-0804

IC ID: 199666

Documents and Forms
Document Name
Document Type
Other-Post Commitment Form
Other-Post Commitment Form
Other-CMHC Certification Checklist
Other-CMHC Certification Checklist
Other-RHC, Telecom Program, Invoice
Other-RHC, Telecom Program, Invoice
Information Collection (IC) Details

View Information Collection (IC)

Federal Government WCB
 
No Modified
 
Required to Obtain or Retain Benefits
 
47 CFR 54.605

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Post Commitment Form 2023 Revision Post-Commitment Request Form_v2.pdf Yes Yes Fillable Fileable Signable
Other-CMHC Certification Checklist 2023 Revision RHC CMHC-Certification-Checklist.pdf Yes Yes Fillable Fileable Signable
Other-RHC, Telecom Program, Invoice Form 2023 Revision Telecom Program Invoice.pdf Yes Yes Fillable Fileable Signable

Health Health Care Services

 

4,284 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 38,802 0 4,575 0 0 34,227
Annual IC Time Burden (Hours) 147,372 0 9,552 0 0 137,820
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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