| OMB Number | Title |
|---|
| 0906-0088 |
Health Professions Student Loan (HPSL) Program and Nursing Student Loan (NSL) Program: Administrative Requirements (Regulations & Policy) |
| 0906-0087 |
National Health Service Corps Scholar/Students to Service Travel Request Worksheet |
| 0906-0086 |
BHW Performance Report for Grants and Cooperative Agreements |
| 0906-0084 |
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration |
| 0906-0083 |
COVID–19 Provider Relief Programs Single and Commercial Audits and Delinquent Audit Reporting Submission Activities |
| 0906-0082 |
Faculty Loan Repayment Program |
| 0906-0081 |
National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: 45 CFR Part 60 Regulations and Forms |
| 0906-0080 |
Evaluation of Programs Supporting the Mental Health of the Health Professions Workforce |
| 0906-0079 |
Rapid Uptake of Disseminated Interventions (RUDI) Evaluation |
| 0906-0078 |
Ryan White HIV/AIDS Program Mpox Vaccine Distribution |
| 0906-0077 |
Application for Federally Supported Health Centers Assistance Act (FSHCAA) / Federal Tort Claims Act (FTCA) Particularized Determination of Coverage |
| 0906-0076 |
Healthy Start Evaluation and Capacity Building Support |
| 0906-0075 |
Optimizing Virtual Care Grant Program Performance Measures |
| 0906-0074 |
Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access Program and the Screening and Treatment for Maternal Depression and Related Behavioral Disorders Program |
| 0906-0073 |
Bureau of Health Workforce (BHW) Program Specific Form |
| 0906-0072 |
Health Center Workforce Survey Evaluation and Technical Assistance |
| 0906-0071 |
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Advancing Health Equity in Response to the COVID-19 Public Health Emergency |
| 0906-0070 |
DoNation General Workplace Campaign Scorecard |
| 0906-0069 |
COVID–19 Provider Relief Programs Application and Attestation Portal, and Claims Reimbursement Submission Activities |
| 0906-0068 |
COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities |
| 0906-0067 |
Bureau of Primary Health Care Program Management Resource Compendium |
| 0906-0066 |
Small Rural Hospital Improvement Program (SHIP) COVID-19 Testing and Mitigation Reporting Portal |
| 0906-0065 |
Updates to Uniform Standard for Waiver of the Ryan White HIV/AIDS Program Core Medical Services Expenditure Requirement |
| 0906-0064 |
The HRSA Community Based Outreach Reporting Module |
| 0906-0063 |
Maternal, Infant, and Early Childhood Home Visiting Program Pay for Outcomes Supplemental Information Request (PFO) |
| 0906-0062 |
Health Center COVID-19 Vaccine Program |
| 0906-0061 |
DATA 2000 Waiver Training Payment Program Application for Payment |
| 0906-0060 |
Enhancing Linkage of Sexually Transmitted Infection (STI) and HIV Surveillance Data in the Ryan White HIV/AIDS Program (RWHAP) Evaluation |
| 0906-0059 |
Maternal Health Portfolio Evaluation |
| 0906-0058 |
Substance Use Disorder Treatment and Recovery (STAR) Loan Repayment Program (LRP) and the Pediatric Specialty Loan Repayment Program |
| 0906-0057 |
Teaching Health Center Graduate Medical Education (THCGME) Program Cost Evaluation |
| 0906-0056 |
Rural Health Clinic COVID-19 (RHC COVID-19)Testing Program Data Collection |
| 0906-0055 |
Sickle Cell Disease Treatment Demonstration Regional Collaborative Program: Quality Improvement and Performance Measure Data Collection |
| 0906-0054 |
Bureau of Health Workforce (BHW) Substance Use Disorder (SUD) Evaluation |
| 0906-0053 |
COVID-19 Data Report |
| 0906-0052 |
Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Depression and Related Behavioral Disorders Programs Project |
| 0906-0051 |
Ending the HIV Epidemic (EHE) Triannual Module |
| 0906-0050 |
Chart Abstraction of Ryan White HIV/AIDS Program Recipient Data |
| 0906-0049 |
Standardized Work Plan (SWP) Form |
| 0906-0048 |
Biographical Sketch Form for Use with Applications to the Maternal and Child Health Bureau Research Grants |
| 0906-0047 |
Information Collection Request Title: Ryan White HIV/AIDS Program (RWHAP) Parts A and B Unobligated Balances and Rebate Addendum Tables. |
| 0906-0046 |
Assessing Care and Health Outcomes Among Ryan White HIV/AIDS Program (RWHAP) Clients Who Do Not Receive RWHAP-Funded Outpatient Ambulatory Health Services (Non-OAHS) |
| 0906-0045 |
Ryan White HIV/AIDS Program (RWHAP) Compilation of Best Practice Strategies and Interventions |
| 0906-0044 |
Rural Communities Opioid Response Program (RCORP) Grantee Data |
| 0906-0043 |
Evidence Based Telehealth Network Program Measures |
| 0906-0042 |
Maternal and Child Health Jurisdictional Survey Instrument for the Title V MCH Block Grant Program |
| 0906-0041 |
Children’s Hospitals Graduate Medical Education (CHGME) Quality Bonus System (QBS) Initiative Response Form |
| 0906-0040 |
Family-to-Family Health Information Center (F2F HIC) Feedback Surveys |
| 0906-0039 |
Ryan White HIV/AIDS Program Client-Level Data Reporting System |
| 0906-0038 |
The Maternal, Infant, and Early Childhood Home Visiting Program Needs Assessment Update Supplemental Information Request |
| 0906-0037 |
Rural Health Opioid Program Grant Performance Measures |
| 0906-0036 |
Zika Virus Pilot Project |
| 0906-0035 |
Application for Health Center Program Recipients for Deemed Public Health Service Employment with Liability Protections Under the Federal Tort Claims Act (FTCA) |
| 0906-0034 |
Scientific Registry of Transplant Recipients Information Collection Effort for Potential Donors for Living Organ Donation (SRTR) |
| 0906-0033 |
Assessing Client Factors Associated with Detectable HIV Viral Loads; and Models of Care the Ryan White HIV/AIDS Program |
| 0906-0032 |
Application for Deemed Health Center Program Award Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment |
| 0906-0031 |
Health Workforce Connector |
| 0906-0030 |
Ryan White HIV/AIDS Program Outcomes and Expanded Insurance Coverage |
| 0906-0029 |
Shortage Designation Management System |
| 0906-0028 |
National Practitioner Data Bank (NPDB) Attestation of Reports by Hospitals, Medical Malpractice Payers, Health Plans, and Certain Other Health Care Entities |
| 0906-0027 |
Data Use Agreement and Supplement for 2014 Health Center Patient Survey |
| 0906-0026 |
Small Rural Hospital Transitions (SRHT) Project |
| 0906-0025 |
Maternal, Infant, and Early Childhood Home Visiting Program: Cost Reporting Tool for Pilot Test in Select Local Implementing Agencies |
| 0906-0024 |
Rural Health Care Coordination Network Partnership Program Performance Improvement Measurement System |
| 0906-0023 |
Building Futures: Supporting Youth Living with HIV |
| 0906-0022 |
HIV Quality Measures Performance Measure Module (HIVQM Module) |
| 0906-0021 |
Rural Network Allied Health Training Program Performance Measures |
| 0906-0020 |
Rural Opioid Overdose Reversal Program Performance Measures |
| 0906-0019 |
Sickle Cell Disease Treatment Demonstration Program - Quality Improvement Data Collection |
| 0906-0018 |
Providing Primary Care and Preventive Medical Services in Ryan White Funded Medical Care Settings |
| 0906-0017 |
Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System |
| 0906-0016 |
The Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report |
| 0906-0015 |
Rural Outreach Benefits Counseling Program Measures |
| 0906-0014 |
The Advisory Committee on Heritable Disorders in Newborns and Children's Public Health System Assessment Surveys |
| 0906-0013 |
Rural Access to Emergency Devices Grant Program |
| 0906-0012 |
Radiation Exposure Screening and Education Program Performance Improvement and Measurement System (PIMS) |
| 0906-0011 |
Partnerships for Care (P4C) Progress Reports |
| 0906-0010 |
Rural Health Network Development Program Performance Improvement and Measurement System (PIMS) |
| 0906-0009 |
Rural Health Care Services Outreach Performance Improvement and Measurement Systems (PIMS) Measures |
| 0906-0007 |
Evaluation and Initial Assessment of HRSA Teaching Health Centers |
| 0906-0006 |
HRSA Grantee Satisfaction |
| 0906-0005 |
MIECHV Competitive Grant Final Report Instructions |
| 0906-0004 |
Be the Match® Patient Services Survey |