OMB control number
Universal Service - Rural Health Care Program
OMB 3060-0804 ยท FCC.
OMB 3060-0804
This information collection covers the Commission's Rural Health Care Program. The Rural Health Care Program is part of the Commission's universal service efforts and provides support for telecommunications and broadband services for eligible health care providers. This collection allows the Commission to collect information necessary to commit funding for eligible health care providers and to conduct oversight of health care providers and service providers participating in the program.
The latest form for Universal Service - Rural Health Care Program expires 2027-09-30 and is listed under ICR 202407-3060-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FCC Form 460 Business or other for-profit | Form and Instruction |
 IC 3060-0804 - SS - final version.docx | Supporting Statement A |
 Business or other for-profit |
Form and Instruction |
| State, Local, or Tribal governments |
Information collection |
| Federal Government |
Other-Post Commitment Form |
All Historical Document Collections
OMB Details
Business or other for-profit
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form FCC Form 460 | RHC, Healthcare Connect Fund Program and Telecommunications Program | Fillable Fileable Signable | Form and instruction |
| Form FCC Form 469 | RHC, Telecommunications Program, Description of Invoice and Request for Disbursement | Fillable Fileable Signable | Form and instruction |
| Form FCC Form 466 | RHC, Telecommunications Program, Description of Request for Funding | Fillable Fileable Signable | Form and instruction |
| Form FCC Form 467 | RHC, Telecommunications Program, Connection Certification Form | Fillable Fileable Signable | Form and instruction |
| Form FCC Form 465 | RHC, Telecommunications Program, Description of Eligibility and Request for Services | Fillable Fileable Signable | Form and instruction |
| Form FCC Form 463 | RHC, HCFP, Description of Request for Funding Disbursement | Fillable Fileable Signable | Form and instruction |
| Form FCC Form 462 | RHC, HCFP, Description of Request for Funding | Fillable Fileable Signable | Form and instruction |
| Form FCC Form 461 | RHC, Healthcare Connect Fund Program, Description of Request for Services | Fillable Fileable Signable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.