Promoting Telehealth for Low-Income Consumers; COVID-19 Telehealth Program

OMB 3060-1271

OMB 3060-1271

This submission is being made for a proposed non-substantive update to an existing information collection pursuant to 44 U.S.C. § 3507. The Commission resubmits the COVID-19 Telehealth Program Post-Program Report Template (Template) to be included as part of the existing information collection, which was approved by the Office of Management and Budget (OMB) on October 7, 2020 and on December 29, 2020, respectively. This request is correcting a typo on the first page of the Template to the OMB Control Number. There are no changes to the burdens and no cost are associated with this information collection. This submission is being made for a proposed non-substantive update to an existing information collection pursuant to 44 U.S.C. § 3507. The Commission submits the COVID-19 Telehealth Program Post-Program Report Template (Template) to be included as part of the existing information collection, which was approved by the Office of Management and Budget (OMB) on October 7, 2020. The FCC seeks approval to revise the existing collection 3060-1271 to also include information collection requirements for the Connected Care Pilot Program established by the Commission in the Report and Order entitled In the Matter of Promoting Telehealth for Low-Income Consumers; COVID-19 Telehealth Program (WC Docket No. 18-213, WC Docket No. 20-89, FCC 20-44). This collection is being revised to: (1) extend the existing information collection requirements for the COVID-19 Telehealth Program; (2) add new information collection requirements for the Connected Care Pilot Program; and (3) extend existing requirements applicable to both the COVID-19 Telehealth Program and the Connected Care Pilot Program. This information collection is necessary in order to facilitate the FCC’s and the Universal Administrative Company’s administration of the Programs, and to prevent waste, fraud, and abuse. The information will also allow the FCC to evaluate the extent to which the Programs are complying with the applicable rules and procedures for each program.

The latest form for Promoting Telehealth for Low-Income Consumers; COVID-19 Telehealth Program expires 2023-10-31 and can be found here.

OMB Details

Business or other for-profit

Federal Enterprise Architecture: Health - Health Care Services

Form N/ACOVID-19 Telehealth Request for Reimbursement Form Fillable Fileable SignableForm
Form N/ACOVID-19 Telehealth Program Application Form Fillable Fileable SignableForm

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