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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
3060-0804
ICR Reference No:
201409-3060-006
Status:
Historical Active
Previous ICR Reference No:
201308-3060-013
Agency/Subagency:
FCC
Agency Tracking No:
WCB
Title:
Universal Service - Rural Health Care Program
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/08/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/04/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2016
08/31/2016
08/31/2016
Responses
54,041
0
54,041
Time Burden (Hours)
65,539
0
65,539
Cost Burden (Dollars)
0
0
0
Abstract:
The Commission is submitting this revision which is utilized for the rural health care (RHC) support mechanism of the FCC's universal service fund (USF). The purpose of the revision is to seek OMB approval for: 1) new information collection requirements associated with the Healthcare Connect Fund, a new RHC fund created by the Rural Helath Care Support Mechanism Report and Order, FCC 12-150; 2) new innformation collection requirments associated with a skilled nursing facilities pilot program (SNF pilot); 3) revisions to the annual reporting requirement for participants in the FCC's existing rural health care Pilot Program (created in 2006); and 4) extend the information collection requirements forthe existing RHC programs (the Telecommunications Program and the Internet Access Program , as well as the 2006 Pilot Program.) The Commission is submitting this non-substantive change request to the Office of Management (OMB) for approval. The Commission inadvertently omitted some of the affected rules sections in ROCIS from its submission which was approved by OMB on August 22, 2013. However, the rule sections were included in the supporting statement. We simply made a data entry error in ROCIS. The Commission added the omitted rule sections in ROCIS with this non-substantive change request submission.
Authorizing Statute(s):
US Code:
47 USC 154(i) - 154(j)
Name of Law: Communications Act of 1934, as amended
US Code:
47 USC 201 - 205
Name of Law: Communications Act of 1934, as amended
US Code:
47 USC 214
Name of Law: Communications Act of 1934, as amended
US Code:
47 USC 254
Name of Law: Telecommunications Act of 1996, as amended
US Code:
47 USC 151
Name of Law: Communications Act of 1934, as amended
US Code:
47 USC 403
Name of Law: Communications Act of 1934, as amended
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
3060-AJ85
Final or interim final rulemaking
78 FR 13936
03/01/2013
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
78 FR 19479
04/01/2013
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 39286
07/01/2013
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
3
IC Title
Form No.
Form Name
Universal Service - Rural Health Care Program
Universal Service - Rural Health Care Program
FCC 467, FCC Form 465, FCC Form 463, FCC Form 466, FCC Form 466-A, FCC Form 467, FCC 465, FCC 466
Healthcare Connect Fund Invoice and Request for Disbursement Form
,
Description of Services Requested & Certification Form
,
Funding Request and Certification Form
,
Internet Service Funding Request and Certification Form
,
Connection Certification
,
Health Care Providers Universal Service - Description of Services Requested & Certification Form
,
Health Care Providers Universal Service - Funding Request and Certification Form
,
Health Care Providers Universal Service - Connection Certification
Universal Service - Rural Health Care Program
FCC Form 460, FCC Form 461, FCC Form 462
Eligibility and Registration Form
,
Healthcare Connect Fund Request for Services Form
,
Healthcare Conect Fund Funding Request Form
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
54,041
54,041
0
0
0
0
Annual Time Burden (Hours)
65,539
65,539
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Cheryl Callahan 202 418-2320
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/04/2014
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