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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
45950
96486
0
Other-Certification
Other-Vendor Certification
Other-Certification Checklist
Other-Excel Template
Other-Invoice Template
Other-Invoice Template
Other-Certification Checklist
Universal Service - Rural Health Care Program
Modified
45948
96484
0
Form
FCC 460
RHCP Description of Eligibility and Registration
Form
Form 461
RHCP Description of Request for Services
Form
Form 462
RHCP Description of Request for Funding
Form
Form 463
RHCP Description of Request for Funding Disbursement
Form
Form 465
RHCTP Description of Eligibility and Request for Services
Form
Form 466
RHCTP Description of Request for Funding
Form
Form 467
RHCTP Description of Request for Fundiing Disbursement
Universal Service - Rural Health Care Program
Modified
45948
96484
0
Form and Instruction
Form 460
RHCP Description of Eligibility and Registration
Form and Instruction
Form 461
RHCP Description of Request for Services
Form and Instruction
Form 462
RHCUS HCF Description of Funding
Form and Instruction
Form 463
RHC HCF Invoice and Request for Disbursement Form
Form and Instruction
Form 465
HCPUS Description of Services Requested and Certification Form
Form and Instruction
Form 466
HCPUS Funding Request and Certification Form
Form and Instruction
Form 476
HCPUS Connection Certification
Total burden requested under this ICR:
137846
289454
0
To view an IC, click on IC Title