PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Universal Service - Rural Health Care Program
Modified
18015
21847
0
Other-Checklist
Other-Excel spreadsheet
Other-Excel spreadsheet
Other-Excel spreadsheet
Other-Template
Other-Template
Other-Excel spreadsheet
Other-Excel worksheet
Universal Service - Rural Health Care Program
Modified
18011
21845
0
Form
FCC Form 463
Healthcare Connect Fund Invoice and Request for Disbursement Form
Instruction
Form
FCC Form 465
Description of Services Requested & Certification Form
Instruction
Form
FCC Form 466
Funding Request and Certification Form
Instruction
Form
FCC Form 466-A
Internet Service Funding Request and Certification Form
Instruction
Form
FCC Form 467
Connection Certification
Instruction
Universal Service - Rural Health Care Program
Modified
18015
21847
0
Other-Template
Other-Template
Form
FCC Form 460
Eligibility and Registration Form
Instruction
Form
FCC Form 461
Healthcare Connect Fund Request for Services Form
Instruction
Instruction
Form
FCC Form 462
Healthcare Conect Fund Funding Request Form
Total burden requested under this ICR:
54041
65539
0
To view an IC, click on IC Title
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