Universal Service - Rural Health Care Program

OMB 3060-0804

OMB 3060-0804

The FCC seeks approval to: (1) extend some of the existing information collection requirements for the Healthcare Connect Fund and Telecommunications (Telecom) Programs; (2) revise some of the information collection requirements for the Healthcare Connect Fund and Telecom Programs and (3) add some new information collection requirements applicable to both the Healthcare Connect Fund Program and the Telecom Program as a result of the 2019 Promoting Telehealth Report and Order. The FCC also seeks approval to reformat and revise the Telecom Program Invoice Template and create a new Post-Commitment Request Form consistent with the changes adopted in the 2019 Promoting Telehealth Report and Order and to promote transparency into the RHC Program procedures and requirements.

The latest form for Universal Service - Rural Health Care Program expires 2023-05-31 and can be found here.

All Historical Document Collections
Approved without change
Revision of a currently approved collection 2020-04-07
Approved without change
Revision of a currently approved collection 2019-05-26
Approved without change
Revision of a currently approved collection 2016-07-22
Approved without change
No material or nonsubstantive change to a currently approved collection 2014-09-04
Approved without change
No material or nonsubstantive change to a currently approved collection 2013-08-23
Approved without change
Revision of a currently approved collection 2013-07-01
Approved without change
No material or nonsubstantive change to a currently approved collection 2013-02-06
Approved without change
No material or nonsubstantive change to a currently approved collection 2013-01-31
Approved without change
Revision of a currently approved collection 2011-10-05
Withdrawn and continue
Revision of a currently approved collection 2011-09-28
Preapproved
Revision of a currently approved collection 2010-09-02
Approved without change
No material or nonsubstantive change to a currently approved collection 2010-02-26
Approved without change
Extension without change of a currently approved collection 2008-10-02
Approved without change
No material or nonsubstantive change to a currently approved collection 2008-04-02
Approved without change
Revision of a currently approved collection 2007-12-10
Approved without change
Revision of a currently approved collection 2005-03-18
Approved without change
Revision of a currently approved collection 2004-02-10
Approved without change
Revision of a currently approved collection 2003-04-25
Approved without change
Revision of a currently approved collection 2002-05-03
Approved without change
Extension without change of a currently approved collection 2001-08-09
Approved without change
Revision of a currently approved collection 2001-03-15
Approved without change
Revision of a currently approved collection 2001-01-23
Approved without change
Extension without change of a currently approved collection 2000-09-22
Approved without change
Revision of a currently approved collection 2000-05-05
Approved without change
Revision of a currently approved collection 2000-03-24
Approved without change
Revision of a currently approved collection 2000-03-03
Approved without change
Extension without change of a currently approved collection 1999-03-16
Approved without change
Revision of a currently approved collection 1998-09-24
Approved without change
Revision of a currently approved collection 1998-05-07
Approved without change
No material or nonsubstantive change to a currently approved collection 1998-02-05
Approved without change
New collection (Request for a new OMB Control Number) 1997-11-12
OMB Details

Universal Service - Rural Health Care Program

Federal Enterprise Architecture: Health - Health Care Services

Form FCC Form 466RHC, Telecommunications Program, Description of Request for Funding (FY2021+)Fillable Fileable SignableForm and instruction
Form FCC Form 466RHC, Telecommunications Program Description of Request for Funding (FY2020)Fillable Fileable SignableForm and instruction
Form FCC Form 465RHC, Telecommunications Program Description of Eligibility and Request for Services (FY 2021+)Fillable Fileable SignableForm and instruction
Form FCC Form 467RHC, Telecommunications Program, Connection Certification Form (FY2020+)Fillable Fileable SignableForm and instruction
Form FCC Form 462RHC, HCFP, Description of Request for Funding (FY2020+)Fillable Fileable SignableForm and instruction
Form FCC Form 461RHC, HCFP, Description of Request for Services (FY2021+)Fillable Fileable SignableForm and instruction
Form FCC Form 465RHC, Telecommunications Program, Description of Eligibility and Request for Services (FY2020)Fillable Fileable SignableForm and instruction
Form FCC Form 463RHC, HCFP, Description of Request for Funding Disbursement (FY2021+)Fillable Fileable SignableForm and instruction
Form FCC Form 463RHC, HCFP, Description of Request for Funding Disbursement (FY2020)Fillable Fileable SignableForm and instruction
Form FCC Form 461RHC, HFCP, Description of Request for Services (FY2020)Fillable Fileable SignableForm and instruction
Form FCC Form 460RHC, HCFP, Description of Eligibility and Registration Fillable Fileable SignableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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