Link Health Data Collection

Link Health Data Collection

You are likely eligible if your household’s income is below 200% of the \[Federal Poverty Line\]\(https://www\.affordableconnectivity\.gov/do\-i\-qualify/\) \($27\,180 p/y\) or you \(or someone in your household\) participate in one of these programs:

* Medicaid
* SNAP
* WIC
* SSI
* Free and Reduced-Price School Lunch Program
* Federal Public Housing Assistance
* Received a Federal Pell Grant in the current award year

Please enter your date of birth/Por favor, introduzca su fecha de nacimiento.

1\. I \(or my dependent\) receive the programs I listed above

2\. If I move I will give my internet company my new address within 30 days

3\. If I no longer receive the government program\(s\) I listed\, I will tell my internet company

4\. I know that my household can only receive 1 ACP benefit

5\. The information provided can be collected\, used\, shared\, and retained by the FCC

6\. I know that the ACP is a federal government subsidy and at the program’s conclusion my rate will go back to what it was before

7\. All the answers provided are truthful

8\. I know that willingly giving false information to get ACP benefits is punishable by law

9\. I know that the ACP administrator may have to check whether I qualify occasionally

10\. The address I used is accurate\.