Business or other for-profit

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
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Business or other for-profit WCB
 
No Modified
 
Required to Obtain or Retain Benefits
 
47 CFR 54.627 47 CFR 54.605

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FCC Form 460 RHC, Healthcare Connect Fund Program and Telecommunications Program FCC Form 460 - Eligibility and Registration (v.3 - 6.27.24) CLEAN.pdf Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 461 RHC, Healthcare Connect Fund Program, Description of Request for Services FCC Form 461 - Request for Service (2.22.24) CLEAN.pdf Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 462 RHC, HCFP, Description of Request for Funding FCC Form 462 - Request for Funding (Nov 2023).pdf Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 463 RHC, HCFP, Description of Request for Funding Disbursement FCC Form 463 - Request for Funding Disbursement (Nov 2023).pdf Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 465 RHC, Telecommunications Program, Description of Eligibility and Request for Services FCC Form 465 - Eligibility and Request for Services (v.2 - 2.16.24) CLEAN.pdf Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 466 RHC, Telecommunications Program, Description of Request for Funding FCC Form 466 - Request for Funding (Nov 2023).pdf Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 467 RHC, Telecommunications Program, Connection Certification Form FCC Form 467 - Connection Certification Form (Nov 2023).pdf Yes Yes Fillable Fileable Signable
Form and Instruction FCC Form 469 RHC, Telecommunications Program, Description of Invoice and Request for Disbursement FCC Form 469 - Invoice and Request for Disbursement (Nov 2023).pdf Yes Yes Fillable Fileable Signable

Health Health Care Services

 

4,284 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 39,023 0 222 0 0 38,801
Annual IC Time Burden (Hours) 147,463 0 91 0 0 147,372
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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