Universal Service - Rural Health Care Program

Forms and Documents

Document Name	Status
Form FCC Form 465 Universal Service - Rural Health Care Program Form and Instruction	Modified
0804_ss_093008_FINAL.doc Supporting Statement A	2008-10-02
0804 FCC Form-466-FY2008-instructions final_040208.doc Supplementary Document	2008-04-02
0804 FCC Form-466-A-FY2008-instructions final_040208.doc Supplementary Document	2008-04-02
0804 FCC Form-467-FY2008-instructions final_040108.doc Supplementary Document	2008-04-02
0804 FCC Form-467-FY2008.xls Supplementary Document	2008-04-02
0804 FCC Form-466-FY2008.xls Supplementary Document	2008-04-02
0804 FCC Form-466-A-FY2008.xls Supplementary Document	2008-04-02
0804 FCC Form-465-FY2008-instructions final_040108.doc Supplementary Document	2008-04-02
0804 FCC Form-465-FY2008.xls Supplementary Document	2008-04-02

IC Document Collections

IC ID	Document Title	Status
31049	Universal Service - Rural Health Care Program Form and Instruction	Modified

ICR Details

OMB Control No: 3060-0804	ICR Reference No: 200808-3060-026
Status: Historical Active	Previous ICR Reference No: 200804-3060-001
Agency/Subagency: FCC	Agency Tracking No: WCB
Title: Universal Service - Rural Health Care Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/19/2008
	Date Received in OIRA: 10/02/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2011	36 Months From Approved	11/30/2008
Responses	59,464	0	59,464
Time Burden (Hours)	67,468	0	68,420
Cost Burden (Dollars)	0	0	0

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Abstract: In 1997, the Commission established the Rural Health Care support mechanism, which provides universal service support to ensure that rural health care providers pay no more than their urban counterparts for their telecommunications needs and Internet access in the provision of health care services. In response to underutilization of the current program, the Commission established a Pilot Program and selected 69 participants. The Pilot Program assist public and non-profit health care providers build state and region-wide broadband networks dedicated to health care.

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Authorizing Statute(s): US Code: 47 USC 403 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 151 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 154(i) - 154(j) Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 201 - 205 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 214 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 254 Name of Law: Communications Act of 1934, as amended
  

Citations for New Statutory Requirements: PL: Pub.L. 109 - 417 202 Name of Law: Pandemic and All-Hazards Preparedness Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 35390	06/23/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 52045	09/08/2008
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Universal Service - Rural Health Care Program	FCC Form 467, FCC Form 465, FCC Form 466, FCC Form 466-A	Health Care Providers Universal Service, Description of Services Requested & Certification Form ,   Health Care Providers Universal Service, Funding Request and Certification Form ,   Health Care Providers Universal Service, Internet Service Funding Request and Certification Form ,   Health Care Providers Universal Service, Connection Certification

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	59,464	59,464	0	0	0	0
Annual Time Burden (Hours)	67,468	68,420	0	0	-952	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Commission has adjusted the total annual burden by -952 hours due to a mathmatical error when this information collection was submitted as an emergency request that was approved on January 14, 2008. With this submission, we are reporting more accurate estimates.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/02/2008

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