Indian Health Service

IHS

Federal Forms

Forms

OMB Number	Title
0917-0043	Urban Indian Organization On-Site Review
0917-0042	Tribal Investment in Commercial Electronic Health Records
0917-0041	Indian Health Service Information Security Ticketing and Incident Reporting
0917-0040	Indian Health Service Purchased/Referred Care Proof of Residency
0917-0039	Mashpee Wampanoag Indian Health Service Unit Community Health Assessment
0917-0038	Environmental Health Assessment of Tribal Child Care Centers in the Pacific Northwest
0917-0037	INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT CONTRACTS, 25 C.F.R. PART 900
0917-0036	Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery: IHS Customer Service Satisfaction and Similar Surveys
0917-0035	IHS Customer Satisfaction Survey
0917-0034	Sharing What Works - Best Practice, Promising Practice, and Local Effort (BPPPLE)
0917-0033	IHS Health Promotion/Disease Prevention Grantee Survey
0917-0032	Behavioral Health Preventive Care Assissment Focus Group
0917-0031	Chief Executive Officer Retention Survey
0917-0030	IHS Forms To Implement The Privacy Rule (45 CFR Parts 160 and 164)
0917-0028	IHS Background Investigations of Individuals in Positions Involving Regular Contact with or Control Over Indian Children
0917-0027	Stakeholder Satisfaction with IHS Tribal Consultation
0917-0026	Final Rule to Implement Title V of the Tribal Self-Governance Amendments of 2000
0917-0025	Hoz'ho'nii: An Intervention to Increase Breat and Cervical Cancer Screening Among Navajo Women
0917-0024	IHS Customer Satisfaction Survey
0917-0022	Evaluation of the Indian Health Service/Bureau of Indian Affairs Training Practitioners Project
0917-0021	Indian Health Service Y2K Day One
0917-0020	IHS Registered Nurses Recruitment and Retention Survey
0917-0019	Evaluation of the IHS-Supported Alcohol and Substance Abuse Treatment Program for American Indian and Alaska Native Women
0917-0018	VOLUNTARY CUSTOMER SURVEYS TO IMPLEMENT EXECUTIVE ORDER 12862 WITHIN THE INDIAN HEALTH SERVICE
0917-0017	STUDY TO DETERMINE THE IMPACT OF THE FINAL RULE: "HEALTH CARE SERVICES OF THE INDIAN HEALTH SERVICE, 42 CFR PART 36"
0917-0016	THE ROLE OF THE IHS IN THE CHILD PROTECTION/ABUSE ARENA
0917-0014	Indian Health Service Loan Repayment Program
0917-0013	IHS SURVEY OF COMMUNITY HEALTH REPRESENTATIVE TRAINING COMPLETED AND EMPLOYMENT CHARACTERISTICS
0917-0012	IHS REPLICATION, INTERNATIONAL COLLABORATIVE STUDY OF ORAL HEALTH OUTCOMES (ICS-II)
0917-0011	IHS ALCOHOLISM/SUBSTANCE ABUSE AND MENTAL HEALTH TRIBAL PROVIDER CHECKLISTS
0917-0010	IHS Community Health Representative Activity Reporting Sample
0917-0009	Indian Health Service Medical Staff Credentials Application
0917-0008	ELIGIBILITY FOR INDIAN HEALTH SERVICES, 42 CFR PART 36
0917-0007	IHS Urban Indian Health Program Common Reporting Requirements
0917-0006	Application for Participation in the IHS Scholarship Program
0917-0005	IHS GRANTS FOR THE DEVELOPMENT, CONSTRUCTION, AND OPERATION OF FACILITIES AND SERVICES
0917-0004	P.L. 93-638 - INITIAL AND RENEWAL CONTRACT: APPLICATION, TRIBAL CLEARANCE AND CONTRACT LAW WAIVER
0917-0003	IHS REQUEST FOR REPORT OF IMMUNIZATIONS ADMINISTERED
0917-0002	IHS Contract Health Service Report
0917-0001	IHS PROJECT PROPOSAL FOR THE PROVISION OF SANITATION FACILITIES/TECHNICAL ASSISTANCE -- P.L. 86-121