View Information Collection Request (ICR) Package
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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:
3060-1271
ICR Reference No:
202504-3060-005
Status:
Active
Previous ICR Reference No:
202206-3060-014
Agency/Subagency:
FCC
Agency Tracking No:
WCB
Title:
Promoting Telehealth for Low-Income Consumers; COVID-19 Telehealth Program
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
08/05/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/29/2025
Terms of Clearance:
Actually just an extension, not a revision.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2028
36 Months From Approved
08/31/2025
Responses
34,553
0
34,553
Time Burden (Hours)
197,787
0
197,787
Cost Burden (Dollars)
0
0
0
Abstract:
This information collection extends the existing requirements for both the Connected Care Pilot Program and the COVID-19 Telehealth Program.
Authorizing Statute(s):
US Code:
47 USC 214, 254, 303(r), 403
Name of Law: Communications Act of 1934, as amended
US Code:
47 USC 1-4
Name of Law: Communications Act of 1934, as amended
US Code:
47 USC 201-205
Name of Law: Communications Act of 1934, as amended
PL:
Pub.L. 116 - 136 134 Stat. 281
Name of Law: Division B of the Coronavirus Aid, Relief, and Economic Security Act
US Code:
47 USC 151-154
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:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
90 FR 11319
03/05/2025
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 22479
05/28/2025
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
Business or other for-profit
N/A, N/A, N/A
COVID-19 Telehealth Program Application Form
,
COVID-19 Telehealth Request for Reimbursement Form
,
Post-Commitment Request Form
Federal Government
FCC Form 460
Description of Eligibility and Registration
State, Local or Tribal Governments
FCC Form 461, FCC Form 462, FCC Form 463
Request for Services
,
Request for Funding
,
Description of Request for Funding Disbursement
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
34,553
34,553
0
0
0
0
Annual Time Burden (Hours)
197,787
197,787
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
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
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?
Yes
Agency Contact:
Clinton Highfill 202 418-0091 clinton.highfill@fcc.gov
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:
05/29/2025
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