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  
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