Information Collection

Telecommunications Relay Services and Speech-to-Speech Services for Individuals with Hearing and Speech Disabilities

IC 30177 under ICR 202501-3060-003 · OMB 3060-0463.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0463 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Annual Cost and Demand Filing - Provider Instructions (2025)(final).docx	Instruction
Annual Cost and Demand Filing - Provider Instructions (2025)(final).docx	Instruction
Annual Cost and Demand Filing - Provider Template (2025)(final).xlsx	Other-Screen shots
Annual Cost and Demand Filing - Provider Template (2025)(final).xlsx	Other-Screen shots
Annual Cost and Demand Filing - State Template (2025) (1).xlsx	Other-Screen Shots
Annual Cost and Demand Filing - State Template (2025) (1).xlsx	Other-Screen Shots
Annual Cost and Demand Filing - State Instructions (2025)(final).docx	Instruction
Annual Cost and Demand Filing - State Instructions (2025)(final).docx	Instruction

IC Title:

Telecommunications Relay Services and Speech-to-Speech Services for Individuals with Hearing and Speech Disabilities

Agency IC Tracking Number:

CGB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 64.606 47 CFR 64.604 47 CFR 64.601

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Yes	No	Printable Only
Other-Screen shots	Yes	Yes	Fillable Fileable Signable
Other-Screen Shots	Yes	No	Fillable Fileable Signable
Instruction	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,692

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,823	140	21	2,662
Annual IC Time Burden (Hours)	5,284	150	571	4,563
Annual IC Cost Burden (Dollars)	116,000	0	18,767	97,233

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.

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