Universal Service - Rural Health Care Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3060-0804 can be found here:

Documents and Forms

Document Name Document Type
Form FCC Form 465 Universal Service - Rural Health Care Program Form and Instruction
FCC Form 465 Universal Service - Rural Health Care Program - For seek 0804_FCCForm465_FY2010_022510.pdf Form and Instruction
FCC Form 466 Universal Service - Rural Health Care Program - Form for 0804_FCCForm466_FY2010_022510.pdf Form and Instruction
FCC Form 466-A Universal Service - Rural Health Care Program - Form for 0804_FCCForm466-A_FY2010_022510.pdf Form and Instruction
FCC Form 467 Universal Service - Rural Health Care Program - Form for 0804_FCCForm467_FY2010_022510.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Universal Service - Rural Health Care Program	Agency IC Tracking Number:	WCB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 54.601-54.625

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FCC Form 465	Universal Service - Rural Health Care Program - For seeking bids	0804_FCCForm465_FY2010_022510.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 466	Universal Service - Rural Health Care Program - Form for funding request and certification	0804_FCCForm466_FY2010_022510.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 466-A	Universal Service - Rural Health Care Program - Form for selection of service provider	0804_FCCForm466-A_FY2010_022510.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FCC Form 467	Universal Service - Rural Health Care Program - Form for notification of service initiation	0804_FCCForm467_FY2010_022510.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,494	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Previously Approved
Annual Number of Responses for this IC	59,464	59,464
Annual IC Time Burden (Hours)	67,468	67,468
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.