Information Collection

Hearing Loss Compatible Wireless Handsets, 47 CFR § 20.19, Hearing Aid Compatibility Act, 47 U.S.C. § 610

IC 31563 under ICR 202503-3060-018 · OMB 3060-0999.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FCC Form 655 Instructions OMB 3060-0999 (2021)(final).docx	Instruction
FCC Form 655 Instructions OMB 3060-0999 (2021)(final).docx	Instruction
FCC Form 855 Instructions (11.18.2024) (Revised).pdf	Instruction
FCC Form 855 Instructions (11.18.2024) (Revised).pdf	Instruction

IC Title:

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 20.19

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
Instruction					Yes	Yes	Fillable Fileable Signable
Instruction					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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	934	0	934
Annual IC Time Burden (Hours)	12,998	-51	13,049
Annual IC Cost Burden (Dollars)	0	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.

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