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

ICR 202102-3060-006

OMB: 3060-1271

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Form
Unchanged
Justification for No Material/Nonsubstantive Change
2021-02-04
Justification for No Material/Nonsubstantive Change
2020-12-31
Justification for No Material/Nonsubstantive Change
2020-12-28
Supporting Statement A
2020-08-27
IC Document Collections
ICR Details
3060-1271 202102-3060-006
Received in OIRA 202012-3060-017
FCC WCB
Promoting Telehealth for Low-Income Consumers; COVID-19 Telehealth Program
No material or nonsubstantive change to a currently approved collection   No
Regular 02/04/2021
  Requested Previously Approved
10/31/2023 10/31/2023
34,623 34,623
198,347 198,347
0 0

This submission is being made for proposed non-substantive changes to an existing information collection pursuant to 44 U.S.C. § 3507. This submission seeks to make non-substantive changes to certain fields for the FCC Form 463 (the Invoice and Request for Disbursement Form for the Healthcare Connect Fund) and the Telecom Program Invoice Form to add a certification of compliance for service providers participating in the Rural Health Care program and the Connected Care Pilot program regarding rules adopted by the Commission in the Protecting Against National Security Threats to the Communications Supply Chain Through FCC Programs First Report and Order and the Second Report and Order, (WC Docket No. 18-89, FCC 19-121 (First Report and Order) and FCC 20-176 (Second Report and Order)). There are no proposed changes for the FCC Forms 460, 461, 462, 465, 466, or 467. The FCC Form 463 and the Telecom Program Invoice Form are contained in an online database. 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.

US Code: 47 USC 201-205 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 214, 254, 303(r), 403 Name of Law: Communications Act of 1934, as amended
   US Code: 47 USC 1-4 Name of Law: Communications Act of 1934, as amended
   PL: Pub.L. 116 - 136 134 Stat. 281 Name of Law: Division B of the Coronavirus Aid, Relief, and Economic Security Act
   US Code: 47 USC 151-154 Name of Law: Communications Act of 1934, as amended
  
None

3060-AK57 Final or interim final rulemaking 85 FR 19892 04/09/2020

  85 FR 36406 06/16/2020
85 FR 53001 08/27/2020
No

  Total Request 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 34,623 34,623 0 0 0 0
Annual Time Burden (Hours) 198,347 198,347 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
    No
    No
No
No
No
Yes
Regina Brown 202 418-0792 regina.brown@fcc.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/04/2021


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