View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Telecommunications Relay Services and Sppech-to-Speech Services for Individuals with Hearing and Speech Disabilities	Agency IC Tracking Number:	CGB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 64.604 47 CFR 64.601 47 CFR 64.606

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Copy of 22 Annual Cost and Demand Filing - Provider Template -Clean.xlsx		Yes	No	Printable Only
Other-Screenshots			Copy of DRAFT Annual Cost and Demand Filing - State Template 1-3-23.xlsx		Yes	Yes	Fillable Fileable Signable
Instruction			Annual Cost and Demand Filing Provider Instructions - 1-3-23.docx		Yes	No	Printable Only
Instruction			DRAFT Annual Cost and Demand Filing - State Instructions 1-3-23.docx		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,691	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	2,662	0	0	0	0	2,662
Annual IC Time Burden (Hours)	4,563	0	0	0	0	4,563
Annual IC Cost Burden (Dollars)	97,233	0	0	0	0	97,233

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.