Health Services Administration

HSA

Federal Forms

Forms
OMB NumberTitle
0915-0396 Evaluation of Programs Supporting the Mental Health of the Health Professions Workforce
0915-0395 Ryan White HIV/AIDS Program Mpox Vaccine Distribution
0915-0394 Rural Maternity and Obstetrics Management Strategies Program Performance Improvement and Measurement System
0915-0393 Bureau of Health Workforce Nurse Corps Supplemental Funding Evaluation
0915-0392 Rural Public Health Workforce Training Network Program (RPHWTN)
0915-0391 Enhancing HIV Care of Women, Infants, Children and Youth Building Capacity through Communities of Practice
0915-0390 Ryan White HIV/AIDS Program Expenditure Forms
0915-0389 Rural Health Information Technology (HIT) Workforce Program Performance Measures
0915-0388 National Health Service Corps Ambassador Portal
0915-0387 Small Health Care Provider Quality Improvement Program Performance Improvement Measurement System (PIMS)
0915-0386 Delta States Rural Development Network Program Measures
0915-0385 Rural Health Care Services Outreach Supplement Performance Measures
0915-0384 Rural Health Network Development Planning Program Performance Improvement and Measurement System (PIMS)
0915-0383 Frontier Community Healthcare Network Coordination Grant
0915-0382 Real Property Status Report, Standard Form (SF-XXXX)
0915-0381 Special Study - Emerging Issues Related to Affordable Care Act Implementation: The Future of Ryan White HIV/AIDS Services: A Snapshot of Outpatient Ambulatory Medical Care
0915-0380 Initial Assessment and Evaluation of Public Health Training Centers Programs
0915-0379 Questionnaire and Data Collection Testing, Evaluation, and Research for the Health Resources and Services Administration (HRSA)
0915-0378 Nurse Faculty Loan Program (NFLP) Program Specific Data Form
0915-0377 Understanding and Monitoring Funding Streams in Ryan White Clinics
0915-0376 Evaluation and Initial Assessment of HRSA Teaching Health Centers
0915-0375 The Advanced Nursing Education (ANE) Program Specific Form
0915-0374 Nurse Anesthetist Traineeship (NAT) Program
0915-0373 National Hospital Organ Donation Campaign's Activity Scorecard
0915-0372 NHSC Site Retention Assessment Questionnaire
0915-0371 Develop and Implement UCARE4LIFE Message Library
0915-0370 Primary Care Faculty Development Initiative
0915-0369 Estimating the Gap Between the Needs of Children and Health Coverage and Benefits Through Implementation of the Affordable Care Act
0915-0368 Health Center Patient Survey (HCPS)
0915-0367 The Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/FTE Chart
0915-0366 Survey of Eligible Users of the National Practitioner Databank
0915-0365 Experiences with 1115 Medicaid Waivers relative to the Ryan White HIV/AIDS Program and Its Clients and Providers
0915-0364 Organ and Tissue Donor and Recipient Life Stories Form
0915-0363 Medicare Rural Hospital Flexibility Grant Program Performance Measures
0915-0362 Corps Community Month Event Form
0915-0361 Performance Improvement Measurement System for the Office for the Advancement of Telehealth, Telehealth Resource Center Program
0915-0360 Health Center Controlled Networks Progress Reports
0915-0359 Sickle Cell Disease Treatment Demonstration Program QI Measures
0915-0358 Healthy Weight Collaborative
0915-0357 Maternal, Infant and Early Childhood Home Visiting Program Information System
0915-0356 Maternal, Infant, and Early Childhood Home Visiting Program Noncompeting Continuation Progress Reports (D89)
0915-0355 Maternal, Infant, and Early Childhood Home Visiting Program FY 2012 Competitive Noncompeting Continuation Progress Reports (X02)
0915-0354 Rural Health Community-Based Grant Programs Data Collection Tool
0915-0353 Work Force Recruitment in BPHC-Funded Health Centers
0915-0352 Area Health Education Centers Project on the Mental and Behavioral Health and Substance Abuse Issues of Veterans/Service Members and Their Families
0915-0351 Maternal, Infant, and Early Childhood Home Visiting Program FY 2012 Competitive Funding Opportunity Announcement
0915-0350 Cultural and Linguistic Competency and Health Literacy Data Collection Checklist
0915-0349 HIV Clinician Workforce Study
0915-0348 National Sample Survey of Nurse Practitioners
0915-0347 Evaluation of the Text4baby Program
0915-0346 Patient Navigator Outreach and Chronic Disease Prevention Demonstration Program
0915-0345 AIDS Drug Assistance Program (ADAP) Data Report
0915-0344 Sickle Cell Disease Program Evaluations
0915-0343 Poison Help General Population Survey
0915-0342 Reconciliation Tool for the Teaching Health Center Graduate Medical Education (THCGME) Program
0915-0341 Retention Survey of NHSC Clinicians and Alumni/NHSC Site Administrators
0915-0340 Maternal, Infant and Early Childhood Home Visiting Program- FY11 Formula FOA
0915-0339 Maternal, Infant and Early Childhood Home Visiting Program- FY11 FOA
0915-0338 National Healthy Start Evaluation and Quality Assurance
0915-0337 The NHSC and NURSE Corps Interest Capture Form
0915-0336 Maternal, Infant and Early Childhood Home Visiting Program- Updated State Plan
0915-0335 Autism CARES Act Initiative Evaluation
0915-0334 Countermeasures Injury Compensation Program (CICP)
0915-0333 Maternal, Infant and Early Childhood Home Visiting Program
0915-0332 Evaluation of the State Early Childhood Comprehensive Systems Grant Program
0915-0331 National Practitioner Data Bank: Section 1921 of the Social Security Act
0915-0330 Intervention Trials To Retain HIV-Positive Patients in Medical Care
0915-0329 Bright Futures for Women's Health and Wellness
0915-0328 Patient Navigator Demonstration Program Evaluation
0915-0327 Enrollment and Re-Certification of Entities in the 340B Drug Pricing Program and Collection of Manufacturer Data to Verify 340B Drug Pricing Program Ceiling Price Calculations
0915-0326 Bureau of Primary Health Care Patient Survey
0915-0325 HRSA Electronic Health Record Readiness Assessment
0915-0324 HRSA Environmental Information and Documentation (EID)
0915-0323 HRSA HAB Client-Level Data Reporting System
0915-0322 State Office of Rural Health Grant Technical Assistance
0915-0321 Nurse Faculty Loan Program - Program Specific Data Form
0915-0320 Sickle Cell Disease Treatment Demonstration Program
0915-0319 Data Collection Tool for Rural Health Community-Based Grant Programs
0915-0318 Ryan White HIV/AIDS Program Allocation Forms
0915-0317 Designation of Medically Underserved Populations and Health Professional Shortage Areas
0915-0316 National Practitioner Data Bank and Healthcare Integrity and Protection Data Bank Market Survey and Survey of Use of Data Bank Information
0915-0315 Health Center Controlled Networks Progress Reports
0915-0314 Nurse Faculty Loan Program Forms
0915-0313 Children's Hospital Graduate Medical Education Program Annual Report
0915-0312 Hemophilia Treatment Center Factor Replacement Product Data Sheet
0915-0311 Office for the Advancement of Telehealth (OAT) Telehealth Outcome Measures
0915-0310 Stem Cell Therapeutic Outcomes Database
0915-0309 Health Care and Other Facilities Project Status Update Form
0915-0308 Bright Futures for Women's Health and Wellness
0915-0307 HIV/AIDS Bureau Core Medical Services Waiver
0915-0306 Chiropractic and Pharmacy Loan Repayment Program
0915-0305 Advanced Education Nursing Traineeship (AENT) and Nurse Anesthetist Traineeship (NAT)
0915-0304 Ryan White CARE Act Title I Minority AIDS Initiative (MAI) Report: Title I Report
0915-0303 Assessment of Historically Black Colleges and Universities Activities to Eliminate Health Disparities
0915-0302 State Maternal and Child Health Early Childhood Comprehensive System (SECCS)
0915-0301 The Nursing Scholarship Program
0915-0300 Healthy Start Participant Survey
0915-0298 Maternal and Child Health Bureau Performance Measures for Discretionary Grant Information System (DGIS)
0915-0297 Survey of Universal Newborn Hearing Screening and Intervention Programs
0915-0296 Surveys of Safety Net Providers for the Healthy Communities Access Program Evaluation
0915-0295 The Division of Independent Review Application Reviewer Recruitment Form
0915-0294 HRSA AIDS Drug Assistance Quarterly Report
0915-0293 Federal Tort Claims Act (FTCA) Program Deeming Sponsorship Applications for Free Clinics
0915-0292 Black Lung Clinics Program Measures
0915-0291 Section 510 State Abstinence Education Grant Program Guidance and Forms
0915-0290 National Survey of Organ Donation Attitudes and Practices (NSODAP)
0915-0289 Health Care Infrastructure Application Forms for Funding Opportunities
0915-0287 Survey of Healthy Start Programs
0915-0286 Organ Procurement and Transplantation Network (42 CFR Part 121.3(b)(4) and 121.9(d))
0915-0285 The Health Center Program Application Forms
0915-0283 Health Center Expansion and Recruitment Survey Project
0915-0282 Smallpox Vaccine Injury Compensation Program
0915-0281 HRSA AIDS Education and Training Centers (AETCs) Evaluation Activities
0915-0280 Ryan White Comprehensive Aids Resources Emergency (CARE) Act and Minority Aids Initiative (MAI) Consultation Form
0915-0279 340B Drug Pricing Program Survey
0915-0278 National Health Service Corps Scholar/Students to Service Travel Request Worksheet
0915-0277 HRSA Telehealth Inventory Assessment
0915-0276 The National Survey of Registered Nurses 2008
0915-0275 Ryan White Comprehensive Aids Resources Emergency Act of 1990, Title III and IV Client-Level Data Project (CDP) Reporting System
0915-0274 Main Study of the Health Care for the Homeless Program User/Visit Surveys
0915-0273 Bright Futures for Women's Health and Wellness Initiative
0915-0272 Maternal and Child Health Bureau Common Grant Guidance for Discretionay Grants
0915-0271 Emergency Medical Services for Children (EMSC) Annual Grantee Survey
0915-0270 Evaluation of the Infant Adoption Awareness Training Program
0915-0269 Evaluation of the Health Care for the Homeless (HCH) Respite Pilot Initiative
0915-0268 Implementation of the Primary Care Surveillance System (PSCC) Core Data Collection Effort for the Sentinal Centers Network (SCN)
0915-0266 Private Health Insurance Coverage of Immunosuppressive Drugs Survey
0915-0265 Survey on Gender, Ethnic and Racial Backgrounds of Clients and Staff at Bureau of Primary Health Care Supported Community-Based Health Service Sites
0915-0263 A Needs Assessment of the Black Lung Clinics Program
0915-0262 Office of State and National Partnership's Web-based Semi Annual Report
0915-0261 Hepatitis B and C Among Health Care for the Homeless Program Clients
0915-0260 Healthy Schools, Healthy Communities User/Visit Surveys
0915-0259 Survey of State/Local Efforts to Coordinate Trauma Care Delivery
0915-0256 Charitable Facility Compliance Alternative (amended) - Final Rule
0915-0254 U.S. Component of the 2001/2002 World Health Organization Study of Health Behavior in School Children (WHO-HPSC)
0915-0253 Ryan White HIV/AIDS Program Data Report Form (formerly CADR System)
0915-0251 Social Support for Homeless Mothers: Implications for Best Practices and Program Design
0915-0250 The National Health Service Corps Scholarship Program In-School Worksheets
0915-0249 Increasing Donor Awareness on College Campuses
0915-0248 The Impact of the State Child Health Insurance Program on Selected Community Health Centers and Maternal and Child Health Programs
0915-0247 Children's Hospital Graduate Medical Education Program
0915-0245 They Ryan White CARE Act Client Demonstration Project Reporting System
0915-0244 Ricky Ray Hemophilia Relief Fund Program
0915-0243 Pilot Study of African American Women on Health Care Attitudes and Behaviors
0915-0242 Assessment of the Impact of the National Practitioner Data Bank
0915-0241 Employment Sites of Nursing Graduates
0915-0239 Health Integrity and Protection Data Bank for Final Adverse Information on Health Care Providers, Suppliers and Practitioners
0915-0237 National Evaluation of Fetal and Infant Mortality Review (FIMR)
0915-0236 Assessment of Factors Influencing the Adequacy of Health Care Services to Children in Foster Care and Other Out-of-Home Placements
0915-0234 NHSC Waiver Request Worksheets
0915-0233 Disadvantaged Assistance Tracking and Outcome Report (DATOR) for Health Careers Opportunity Program and Centers of Excellence Program
0915-0232 National Health Service Corps Site Survey
0915-0230 NHSC Recruitment and Retention Assistance Application
0915-0227 Health Education Assistance Loan (HEAL) Program: Refinancing Application/Promissory Note
0915-0226 NHSC and Native Hawaiian Health Scholarship Programs Data Collection Worksheet
0915-0225 Evaluation of Health Care for the Homeless Program
0915-0224 The Knowledge of Ryan White Providers About ACTGO76
0915-0222 Performance Outcome Measurement Demonstration Study
0915-0221 Evaluation of the Effectiveness of the National Health Service Corps
0915-0220 Women's Initiative for HIV Care and Reduction of Perinatal HIV Transmission
0915-0219 AIDS Drug Assistance Program Monthly Report for Ryan White Comprehensive AIDS Resources Emergency Act Amendments of 1996, Title I and II
0915-0218 Grantee Reporting Requirements for the Rural Health Network Grant Program
0915-0217 A Study to Review Activities Conducted to Assess Client Satisfaction with HIV/AIDS-Related Clinical and Support Services
0915-0216 Area Health Education Centers Managed Care Inventory Project
0915-0215 Assessment of HIV Counseling and Testing Services for Women of Childbearing Age in BPHC Programs
0915-0214 Consortia Development for Health Professions Training in Community-Based Settings
0915-0213 Survey of Covered Entities under Section 602 of the Veterans Health Care Act of 1992
0915-0212 Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
0915-0211 Evaluation of Ryan White HIV/AIDS Dental Reimbursement Program
0915-0210 Standard Needs Assessment Protocol for the National AIDS ETC
0915-0209 Survey of Physicians Granted Exchange Visitor Waivers
0915-0208 Professional Training and Information Questionnaire
0915-0207 Mail Survey for Evaluation of Effectiveness and Impact of Community Health Centers
0915-0206 Ryan White Comprehensive AIDS Resources Emergency Act of 1990, Amended 1996 - Title IV
0915-0204 HEAL Program: Physician's Certification of Borrower's Total and Permanent Disability
0915-0203 A Study of the Dissemination of the Maternal and Child Assistance Programs Model Application Form
0915-0202 A Study of Physicians' Educational Preparation for Practice in Managed Care
0915-0201 Interdisciplinary Generalist Curriculum Project: External
0915-0198 Healthy Schools, Healthy Communities Program National
0915-0197 Pilot Test of Revisions to the National Health Service Corps
0915-0196 Survey of Health Care Providers Participating in Rural
0915-0195 Exploratory Study of Reasons Kidney Transplant Waiting List Patients are Unavailable for Organ Offers
0915-0193 HRSA Uniform Data System (UDS)
0915-0192 The National Survey of Registerd Nurses 2000
0915-0191 Survey of Medical Schools to Investigate the Relationship between Biomedical Research Funding and Specialty Choice
0915-0190 SURVEY OF POSTPARTUM WOMEN, HEALTHY START EVALUATION
0915-0189 Survey of Rural Hospitals on Telemedicine
0915-0188 Data Collection and Reporting Requirements for Healty Schools, Healthy Communities
0915-0187 HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM: PERFORMANCE STANDARDS FOR LENDERS AND HOLDERS, NPRM
0915-0186 Main Study of the Community Health Center/National Health Service Corps Site User/Visit Survey
0915-0185 Pilot Test of the Community Health Center/National Health Service Corp User/Visit Survey
0915-0184 Organ Procurement and Transplantation Network Application Form
0915-0183 SURVEY OF COMMUNITY AND MIGRANT HEALTH CENTERS ON THEIR USE OF CASE MANAGEMENT FOR PERINATAL CARE
0915-0182 SURVEY OF HEALTH CARE FOR THE HOMELESS, BASELINE PROGRAM DESCRIPTION
0915-0181 THE IMPACT OF RYAN WHITE TITLE III(B) FUNDING ON THE PROVISION OF HIV PRIMARY CARE
0915-0180 EVALUATION OF LEARNING NEEDS IN AETC SERVICE AREAS
0915-0179 Deferment Request Form for the National Health Service Corps Scholarship Program
0915-0177 EVALUATION OF THE RYAN WHITE TITLE IV HIV DEMONSTRATION PROGRAM FOR CHILDREN, ADOLESCENTS, AND FAMILIES
0915-0176 340B Drug Pricing Program Reporting Requirements
0915-0175 EVALUATION OF THE HEALTH DIARY HANDBOOK
0915-0174 Loan Information System Records for the DHHS DHUD Hospital Mortgage Insurance, Guarantee, and Direct Loan Program
0915-0173 SURVEY OF KIDNEY TRANSPLANT CENTERS REGARDING LIVING-RELATED DONATIONS
0915-0172 Maternal and Child Health Services Block Grant Application/Annual Report Guidance
0915-0171 CHARITABLE FACILITY COMPLIANCE ALTERNATIVE -- 42 CFR 124, SUBPART F
0915-0170 ASSESSMENT OF THE IMPACT OF THE NATIONAL PRACTITIONER DATA BANK
0915-0169 REPORTING REQUIREMENTS FOR FEDERAL MATERNAL AND CHILD HEALTH SET-ASIDE PROGRAMS -- 42 CFR PART 51(A)
0915-0167 SURVEY OF MENTAL HEALTH SERVICES: NIDA/BPHC LINKAGE_PROGRAMS
0915-0166 Annual Administrative Reporting System for Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, Titles I and II
0915-0165 REPORTING REQUIREMENTS FRO THE ALZHEIMERS DEMONSTRATION GRANTS TO STATES PROGRAM
0915-0164 Data Collection and Reporting Requirements for Healthy Start
0915-0163 SURVEY OF THE CHARACTERISTICS, DISTRIBUTION, AND EMPLOYMENT OF CERTIFIED NURSE PRACTITIONERS AND CLINICAL SPECIALISTS
0915-0162 EVALUATION OF DEFAULT PREVENTION STRATEGIES FOR THE HEAL PROGRAM
0915-0161 STUDY OF THE RELATIONSHIP OF MEDICAL SCHOOL CHARACTERISTICS TO GRADUATES CHOOSING PRIMARY CARE
0915-0159 EVALUATION OF HEALTH PROMOTION ACTIVITIES IN SOUTHERN RURAL COMMUNITIES
0915-0158 Grantee Reporting Requirements for the Ryan White Comprehensive AIDS Resources Emergency Act of 1990 - Title III
0915-0157 Data System for Organ Procurement and Transplantation Network
0915-0156 SURVEY OF PHYSICIANS RECEIVING TRAINING FROM REGIONAL AIDS EDUCATION AND TRAINING CENTERS
0915-0155 SURVEY OF BENEFICIARIES OF TITLE VIII NURSE EDUCATION PROGRAMS
0915-0154 AIDS Education and Training Centers Program: National Program and Service Record Data Reporting Form
0915-0153 NATIONAL SAMPLE SURVEY OF REGISTERED NURSES V
0915-0152 NURSING STUDENT EDUCATION LOAN DEMONSTRATION PROGRAM
0915-0151 Ryan White HIV/AIDS Program Part F Dental Services Report
0915-0150 Faculty Loan Repayment Program
0915-0149 Scholarships for Disadvantaged Students Application Program Specific Form
0915-0148 SCHOLARSHIPS FOR THE UNDER GRADUATE EDUCATION OF PROFESSIONAL NURSES (SUEPN) GRANT PROGRAM
0915-0146 The National Health Service Corps Scholarship Program, Students to Service Loan Repayment Program, and the Native Hawaiian Health Scholarship Program
0915-0145 RURAL HEALTH MEDICAL EDUCATION DEMONSTRATION PROJECT PROGRESS REPORTS
0915-0144 HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM: SCHOOL COLLECTION ASSISTANCE REGULATIONS -- 42 CFR PART 60
0915-0143 HEALTH EDUCATION ASSISTANCE LOAN PROGRAM (HEAL), POST JUDGEMENT COLLECTIONS (NPRM)
0915-0142 Application for Certification as a Federally Qualified Health Center Look-Alike
0915-0141 GRANT PROGRAM FOR SCHOLARSHIPS FOR THE UNDERGRADUATE EDUCATION OF PROFESSIONAL NURSES (SUEPN) - FORM
0915-0140 NURSE Corps Loan Repayment Program
0915-0139 SURVEY OF PRIMARY CARE PREVENTIVE SERVICES AVAILABILITY AND PROVIDER PRACTICES IN COMMUNITY AND MIGRANT HEALTH CENTERS
0915-0138 NURSING STUDENT LOAN (NSL) - CASH MANAGEMENT - 42 CFR PART 57 - NPRM
0915-0137 HEALTH PROFESSIONS STUDENT LOANS (HPSL) AND NURSING STUDENT LOANS (NSL) -- CASH MANAGEMENT -- 42 CFR PART 57
0915-0136 A SURVEY OF NATIONAL ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK MEMBERS AND NONMEMBERS
0915-0135 GRANTS TO SCHOOLS OF NURSING FOR POST-BACCALAUREATE FELLOWSHIPS FOR FACULTY - NPRM 42 CFR PART 57, SUBPART 00
0915-0134 AIDS DEMONSTRATION PROJECTS REPORTING SYSTEM
0915-0133 GRANTS FOR CENTERS FOR EXCELLENCE (42 CFR PART 57)
0915-0132 GRANTS FOR FACULTY TRAINING PROJECTS IN GERIATRIC MEDICINE AND DENTISTRY, NPRM - 42 CFR PART 57, SUBPART 00
0915-0131 NATIONAL HEALTH SERVICE CORPS STATE LOAN REPAYMENT AND SPECIAL REPAYMENT PROGRAMS, 42 CFR PART 62
0915-0130 SURVEY OF HEAL DEFAULTERS
0915-0129 NURSE PRACTITIONER AND NURSE MIDWIFERY TRAINEESHIP PROGRAM
0915-0128 GRANTS FOR GERIATRIC EDUCATION CENTERS (42 CFR PART 57)
0915-0127 The National Health Service Corps (NHSC) Loan Repayment Programs
0915-0126 National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: 45 CFR Part 60 Regulations and Forms
0915-0125 HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM DEFERMENT REPORTING REQUIREMENT (42 CFR 60.12(C)) - FINAL
0915-0124 GRANTS FOR NURSE ANESTHETIST TRAINEESHIPS (42 CFR PART 57)
0915-0120 42 CFR PART 57, SUBPART Z, GRANTS FOR ADVANCED NURSE EDUCATION PROGRAM
0915-0118 NATIONAL SAMPLE SURVEY OF REGISTERED NURSES IV
0915-0117 FINANCIAL ASSISTANCE FOR DISADVANTAGED HEALTH PROFESSIONS STUDENTS (FADHPS) PROGRAM - APPLICATION FORM
0915-0115 HEALTH PROFESSIONS LOAN (HPSL) AND NURSING STUDENT LOAN (NSL) PROGRAMS - ADMINISTRATIVE HEARING REPORTING REQUIREMENTS (NPRM)
0915-0114 HEALTH PROFESSIONS STUDENT LOAN (HPSL) PROGRAM - LOAN INFORMATION DISCLOSURE REQUIREMENTS
0915-0113 DOCUMENTATION OF FORMAL EDUCATIONAL ASSISTANCE AGREEMENT (EAA)
0915-0111 HEALTH PROFESSIONS STUDENT LOAN PROGRAM - DEFERMENT REPORTING REQUIREMENT
0915-0110 PROGRAM OF FINANCIAL ASSISTANCE FOR DISADVANTAGED HEALTH PROFESSIONS STUDENTS (FADHPS) APPLICATION, AND REGULATIONS 42 CFR PART 57
0915-0109 HEALTH PROFESSIONS STUDENT LOAN (HPSL) AND NURSING STUDENT LOAN (NSL) PROGRAMS - REPORT ON INVESTMENT INCOME
0915-0108 Health Education Assistance Loan (HEAL) Program Regs.
0915-0107 42 CFR PART 36, ELIGIBILITY FOR INDIAN HEALTH SERVICE SERVICES--NPRM
0915-0106 Requirement for Notice of Change in Status or Use of Title VII and VIII Facilities
0915-0103 MEDICAL FACILITY CONSTRUCTION AND MODERNIZATION: REQUIREMENTS FOR PROVISION OF SERVICES TO PERSONS UNABLE TO PAY - NPRM
0915-0101 PRIVATE PRACTICE OPTION LOAN PROGRAM - NPRM
0915-0100 REQUEST FOR COLLECTION ASSISTANCE UNDER THE HEALTH EDUCATION
0915-0099 Grants for Hospital Construction and Modernization - Federal Right of Recovery and Waiver of Recovery
0915-0098 MCH/CCS RESEARCH GRANT PROGRAM SUPPLEMENTAL INSTRUCTIONS (FORM PHS-398)
0915-0096 COMMON REPORTING REQUIREMENTS FOR URBAN INDIAN HEALTH PROGRAMS
0915-0095 NURSING STUDENT LOAN PROGRAM DUE DILIGENCE REPORTING AND RECORDKEEPING REQUIREMENTS
0915-0094 HEALTH PROFESSIONS STUDENT LOAN (HPSL) AND NURSING STUDENT LOAN (NSL) DUE DILIGENCE RECORDKEEPING AND REPORTING REQUIREMENT
0915-0093 INFORMATION COLLECTION REQUIREMENTS IN 42 CFR PART 57.3003 AND 57.3004 (B) AND (C): GRANTS FOR RESIDENCY TRAINING IN PREVENTIVE MEDICINE
0915-0092 ASSESSMENT OF TRAINING IN GERIATRICS IN HEALTH PROFESSIONS SCHOOLS
0915-0090 DENTAL GRADUATES EMPLOYMENT PATTERN SURVEY
0915-0089 APPLICATION TO PARTICIPATE IN THE PUBLIC HEALTH CAPITATION PROGRAM, 42 CFR 57
0915-0088 NATIONAL SAMPLE SURVEY OF REGISTERED NURSES III
0915-0087 COMPARATIVE EVALUATION OF NATIONAL HEALTH SERVICE CORPS ALUNMI RETAINED IN HEALTH MANPOWER SHORTAGE AREAS
0915-0086 HEAL PROMISSORY NOTE - (VARIABLE AND FIXED RATES)
0915-0085 HEALTH SYSTEMS AGENCY APPLICATION GUIDELINES FOR DESIGNATION AND RELATED REPORTING REQUIREMENTS
0915-0084 HEAL CALL REPORT - LENDER'S ANNUAL REPORT ON HEAL STUDENT LOANS OUTSTANDING
0915-0083 RECORDKEEPING FOR NURSE PRACTITIONER TRAINEESHIP GRANT PROGRAM
0915-0081 Black Lung Clinics Program (42 CFR 55a and Program Guidelines)
0915-0080 INDIAN HEALTH SERVICE SCHOLARSHIP APPLICATION AND PROGRESS REPORTS
0915-0078 CERTIFICATION OF OWNERSHIP AND USE STATUS OF HILL-BURTON AIDED FACILITIES
0915-0077 Uncompensated Services Assurance Report
0915-0076 EVALUATION OF THE ADMINISTRATION COMPLIANCE COST AND THE IMPACT OF THE INFLATION FACTOR FOR TITLES VI AND XVI ASSISTED FACILTIES
0915-0074 HEALTH PROFESSIONS STUDENT LOAN (HPSL) AND NURSING STUDENT LOAN (NSL) PROGRAM PROMISSORY NOTE
0915-0073 NURSING STUDENT LOAN (NSL) PROGRAM PROMISSORY NOTE
0915-0072 APPLICATION FOR PARTICIPATION IN THE INDIAN HEALTH SERVICE SCHOLARSHIP PROGRAM
0915-0071 REPORTING REQUIREMENTS FOR LIMITATIONS ON FEDERAL PARTICIPATION OF CAPITAL EXPENDITURES UNDER SECTION 1122 OF THE SOCIAL SECURITY ACT (NPRM)
0915-0070 REPORTING REQUIREMENTS FOR REVIEWS BY HSA'S AND SHPDA'S UNDER STATE CON PROGRAMS (NPRM)
0915-0069 ANALYSIS OF THE CURRENT LEVEL OF RESOURCES USED IN GERIATRIC DENTAL EDUCATION
0915-0068 NATIONAL SAMPLE SURVEY OF LICENSED PRACTICAL/VOCATIONAL NURSES
0915-0067 HEALTH PROFESSIONS AND NURSING STUDENT LOAN VERIFICATION OF FEDERAL EMPLOYEE DELINQUENCY DATA
0915-0066 NATIONAL REGISTRY OF HMO FINANCING NEEDS
0915-0065 HEALTH MAINTENANCE ORGANIZATION QUALIFICATION APPLICATION, HEALTH MAINTENANCE ORGANIZATION EXPANSION APPLICATION, COMPETITIVE MEDICAL PLAN APPLICATION
0915-0064 REQUIREMENT TO DISCLOSE HMO FINANCIAL INFORMATION TO MEMBERS
0915-0063 HEALTH MAINTENANCE ORGANIZATIONS/COMPETITIVE MEDICAL PLAN NATIONAL DATA REPORTING REQUIREMENTS
0915-0062 OHMO PROGRESS REPORT ON PLANNING GRANTS
0915-0061 BHW Performance Report for Grants and Cooperative Agreements
0915-0060 HRSA Competing Training Grant Application
0915-0059 SURVEY OF DENTAL HYGIENE PRACTICE IN NON-TRADITIONAL SETTINGS
0915-0058 APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AWARD AND REPORTING SYSTEM FOR SHPDAS
0915-0057 REPORTING REQUIREMENTS FOR LIMITATIONS ON FEDERAL PARTICIPATION OF CAPITAL EXPENDITURE UNDER SECTION 1122 OF THE SOCIAL SECURITY ACT
0915-0056 Annual Space Utilization Report (ASUR) for Nursing and Health
0915-0055 RECORD OF STATE AND LOCAL ACTION UNDER SECTION 1122 OF THE SOCIAL SECURITY ACT
0915-0054 HEALTH EDUCATION ASSISTANCE LOAN (HEAL) PROGRAM SCHOOL RECORDKEEPING REQUIREMENTS
0915-0051 42 CFR PART 110 - (NPRM) HEALTH MAINTENANCE ORGANIZATIONS
0915-0050 Federal Set-Aside Program of the Maternal and Child Health
0915-0048 NURSING STUDENT LOAN (NSL) PROGRAM - FINANCIAL AID TRANSCRIPT, COSTS OF ATTENDANCE, AND EVIDENCE OF LOANS NPRM
0915-0047 Health Professions Student Loan (HPSL) Program and Nursing Student Loan (NSL) Program: Administrative Requirements (Regulations & Policy)
0915-0046 Health Professions Student Loan (HPSL) and Nursing Student Loan (NSL) Debt Management Report (DMR)
0915-0045 GRANTS FOR THE DEVELOPMENT AND OPERATION OF FACILITIES AND SERVICES
0915-0044 Health Professions Student Loan and Nursing Student Loan Programs - Forms
0915-0043 Health Education Assistance Loan (HEAL)
0915-0042 P.L. 93-638 APPLICATION FOR CONTRACT LAW WAIVER
0915-0041 P.L. 93-638 - INITIAL CONTRACT APPLICATION
0915-0040 P.L. 93-638 - INITIAL AND RENEWAL CONTRACT: APPLICATION, TRIBAL CLEARANCE AND CONTRACT LAW WAIVER
0915-0039 APPLICATION FORM NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP PROGRAM
0915-0038 Health Education Assistance Loan (HEAL) Program: Application Form
0915-0037 LENDER'S APPLICATION FOR CONTRACT OF FEDERAL LOAN INSURANCE (HEAL)
0915-0036 Health Education Assistance Loan (HEAL) Program: Lender's Application for Insurance Claim Form and Request for Collection Assistance Form
0915-0035 HEALTH EDUCATION ASSISTANCE LOAN PROGRAM LOAN TRANSFER STATEMENT
0915-0034 Health Education Assistance Loan (HEAL) Program: Forms
0915-0033 HEAL BORROWER STATUS FORM
0915-0032 PHS SITE SELECTION QUESTIONNAIRE
0915-0030 REQUEST FOR REPORT OF IMMUNIZATIONS ADMINISTERED
0915-0029 OTHER REASONABLE EDUCATIONAL EXPENSE DATA COLLECTION WORKSHEET
0915-0028 Scholarship Program for Students of Exceptional Financial Need (EFN) and Program of Financial Assistance for Disadvantages Heal Professions Students (FADHPS) Application
0915-0027 FACULTY EVALUATION FORM - PUBLIC HEALTH AND NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP
0915-0026 HEALTH PROFESSIONS AND NURSING STUDENT LOAN REPAYMENT PROGRAM
0915-0025 SURVEY OF MIGRANT SERVICES PROVIDED BY COMMUNITY HEALTH CENTERS
0915-0024 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT REPORTING REQUIREMENT
0915-0023 PRIMARY CARE BLOCK GRANT REPORTING REQUIREMENTS
0915-0022 INDIAN HEALTH SERVICE CONTRACT DENTAL CARE REPORT
0915-0021 INDIAN HEALTH SERVICE CONTRACT HOSPITAL INPATIENT REPORT
0915-0020 INDIAN HEALTH SERVICE, HOSPITAL, DENTAL AND OTHER CONTRACT HEALTH SERVICE REPORTS
0915-0019 EVALUATION OF STAFF TRAINING PROJECT/BLACK LUNG CLINIC PROGRAM
0915-0018 PROJECT PROPOSAL FOR PROVISION OF SANITATION FACILITIES (P.L. 86-121)
0915-0017 SUPPLEMENTAL INFORMATION COLLECTING REQUIREMENTS FOR BLACK LUNG CLINICS PROGRAM
0915-0013 GARMENT INVOLVEMENT AND VICTIM BEHAVIOR IN BURN INJURY INCIDENTS
0915-0010 APPLICATION FOR ASSIGNMENT OF HEALTH MANPOWER BY THE NATIONAL HEALTH SERVICE CORPS
0915-0008 HRSA INTERIM ABORTION REPORTING PROCEDURES
0915-0007 NHSC SUPPLEMENTAL MANPOWER APPLICATION
0915-0006 BMS QUESTIONNAIRE FOR NURSE APPLICANTS
0915-0005 APPLICANT EVALUATION HEALTH RECORD ADMINISTRATION TRAINING
0915-0004 BUREAU COMMON REPORTING REQUIREMENTS (BCRR)
0915-0003 EVALUATION OF APPLICANT (FOR RESIDENCY TRAINING)
0915-0002 PUBLIC HEALTH SERVICE SITE SELECTION QUESTIONNAIRE FOR PHYSICIANS AND DENTISTS
0915-0001 MIGRANT HOSPITALIZATION PROGRAM REFERRAL FORM

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