Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Business or other for-profit Modified 11517 65929 0 Form N/A
Instruction
Form N/A
Instruction
Other-Post Program Report Template
Federal Government Modified 11518 65929 0 Form FCC Form 460
Other-CMHC Checklist
Instruction
Other-Connected Care Pilot Program Questionnaire
Other-COVID-19 Telehealth Program Post-Program Report Template
State, Local or Tribal Governments Modified 11518 65929 0 Other-COVID-19, Telehealth Program, LOA
Form FCC Form 461
Form FCC Form 462
Form FCC Form 463
Other-Telecom Program Invoice
Total burden requested under this ICR: 34553 197787 0  
To view an IC, click on IC Title