Information Collection

Structure and Practices of the Video Relay Service Program

IC 194297 under ICR 201008-3060-010 · OMB 3060-1232.

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IC Title:	Structure and Practices of the Video Relay Service Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 47 CFR 64.604

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,353	1,353
Annual IC Time Burden (Hours)	19,677	19,677
Annual IC Cost Burden (Dollars)	32,500	32,500

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