Agency for Healthcare Research and Quality

AHRQ

Federal Forms

Forms
OMB NumberTitle
0935-0262 TeamSTEPPS® Stakeholder Surveys for AHRQ’s ACTION III Diagnostic Safety Capacity Building Contract Task 3
0935-0261 AHRQ's National Nursing Home COVID-19 Coordinating Center
0935-0260 The AHRQ Safety Program for Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention
0935-0259 Programmatic Information Collection for the AHRQ Initiative to Support Primary Care to Advance Cardiovascular Health in States with High Prevalence of Preventable CVD Events
0935-0258 Identifying and Testing Strategies for Management of Opioid Use and Misuse in Older Adults in Primary Care Practices
0935-0257 Clinical Decision Support (CDS) for Chronic Pain Management
0935-0256 Patient-Centered Outcomes Research Clinical Decision Support: Current State and Future Directions
0935-0255 Evaluation of Learning Health Systems K12 Training Program
0935-0254 AHRQ Addressing Unhealthy Alcohol Use in Primary Care Initiative
0935-0253 Evaluation of the SHARE Approach Model
0935-0252 Evaluating the Implementation of PCOR to Increase Referral, Enrollment, and Retention through Automatic Referral to Cardiac Rehabilitation (CR) with Care Coordinator
0935-0251 Evaluating the Implementation of Products to Help Learning Health Systems Use Findings from AHRQ Evidence Reports
0935-0250 Evaluation of Patient-Centered Outcomes Research Trust Fund—Training Program
0935-0249 Outcome Measure Harmonization and Data Infrastructure for Patient Centered Outcomes Research in Depression
0935-0248 Evaluating and Implementing the Six Building Blocks Team Approach to Improve Opioid Management in Primary Care
0935-0247 Embedded Research in Care Delivery Systems
0935-0246 Safety Program in Perinatal Care (SPPC)-II Demonstration Project
0935-0245 Consumer Assessment of Healthcare Providers and Systems (CAHPS®)Home and Community Based Services (HCBS) Survey Database
0935-0244 Systematic Review Data Repository (SRDR) 2.0 for Digitally Enabling Systematic Review Data
0935-0243 Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey Database
0935-0242 Ambulatory Surgery Center Survey on Patient Safety Culture Database
0935-0241 Outcome Measure Repository
0935-0240 Expanding the Comprehensive Unit-based Safety Program (CUSP) to reduceCentral Line-Associated Blood Stream Infections (CLABSI) and Catheter-Associated Urinary Tract Infections (CAUTI) in Intensive Ca
0935-0239 AHRQ Safety Program for Improving Surgical Care and Recovery
0935-0238 The AHRQ Safety Program for Improving Antibiotic Use
0935-0237 The Re-engineered Visit for Primary Care (AHRQ REV)
0935-0236 The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Patient-Centered Medical Home (PCMH) Items Demonstration Study.
0935-0235 Collection of Information for: Agency for Healthcare Research and Quality’s (AHRQ) Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families – Evaluation
0935-0234 Survey of Hospital Quality Leaders
0935-0233 AHRQ ACTION III – Measurement for Performance Improvement in Physician Practices
0935-0232 Making It Easier for Patients to Understand Health Information and Navigate Health Care Systems: Developing Quality Improvement Measures
0935-0231 Online Submission Form for Supplemental Evidence and Data for Systematic Reviews for the Evidence-based Practice Center Program
0935-0230 Pilot Test of the Proposed Hospital Survey on Patient Safety Culture Version 2.0
0935-0229 Evaluation of the AHRQ Healthcare Horizon Scanning System
0935-0228 Improving Hospital Informed Consent with Training on Effective Tools and Strategies
0935-0227 Care Coordination Quality Measure for Patients in the Primary Care Setting
0935-0226 Continuing Education for Comparative Effectiveness Research Survey
0935-0225 Phase II of a Longitudinal Program Evaluation of Health and Human Services (HHS) Healthcare Associated Infections (HAI) National Action Plan (NAP)
0935-0224 TeamSTEPPS 2.0 Online Master Trainer Course
0935-0223 Guide to Nursing Home Antimicrobial Stewardship
0935-0222 Evaluation of the Implementation of TeamSTEPPS in Primary Care Settings (ITS-PC)
0935-0221 Taking Efficiency Interventions in Health Services Delivery to Scale
0935-0220 Evaluation of the Educating the Educator (EtE) Workshop
0935-0219 SelectMD 2.0 Clinician Choice Experiment
0935-0218 Pharmacy Survey on Patient Safety Culture Database
0935-0217 Pilot Test of an Emergency Department (ED) Discharge Tool
0935-0216 Pretest of the Ambulatory Surgery/Procedure Survey on Patient Safety Culture
0935-0215 Evaluation of the 2009 CHIPRA Quality Demonstration Grant Program: Survey Data Collection
0935-0214 A PROTOTYPE CONSUMER REPORTING SYSTEM FOR PATIENT SAFETY EVENTS
0935-0213 Improving Sickle Cell Transitions of Care through Health Information Technology Phase 1
0935-0212 Patient-Reported Health Information Technology and Workflow
0935-0211 Pilot Test of the Proposed Value and Efficiency Surveys and Communicating About Value Checklist
0935-0210 Assessing the Knowledge and Educational Needs of Students of Health Professions on Patient-Centered Outcomes Research
0935-0209 Applying Novel Methods to Better Understand the Relationship between Health IT and Ambulatory Care Workflow Redesign
0935-0208 Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow
0935-0207 Development of a Health Information Rating System (HIRS)
0935-0206 Online Application Order Form for Products from the Healthcare Cost and Utilization Project (HCUP)
0935-0205 CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form
0935-0204 Adapting Best Practices for Medicaid Readmissions
0935-0203 American Recovery and Reinvestment Act "Developing a Registry of Registries"
0935-0202 Demonstration of Health Literacy Universal Precautions Toolkit
0935-0201 Workflow Assessment for Health IT Toolkit Evaluation
0935-0200 Synthesis of AHRQ-Funded HAI Projects
0935-0199 Use of Deliberative Methods to Enhance Public Engagement in Comparative Effectiveness Research
0935-0198 System Redesign for Value in Safety Net Hospitals and Delivery Systems
0935-0197 Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey Comparative Database
0935-0196 Medical Office Survey on Patient Safety Culture Comparative Database
0935-0195 Nursing Home Survey on Patient Safety Culture Comparative Database
0935-0194 Assessing the Feasibility of Disseminating Effective Health Center Products through Educational Activities
0935-0193 Assessing the Feasibility of Disseminating Effective Health Center Products through Mobile Phone Applications
0935-0192 Assessing the Feasibility of Disseminating Effective Health Care Products through a Shared Electronic Medical Record Serving Member Organizations of a Health Information Exchange
0935-0191 Evaluation of ARRA Comparative Effectiveness Research Dissemination Contractor Efforts
0935-0190 Evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program
0935-0189 Health Literacy Item Set Supplemental to CAHPS Health Plan Survey - Pretest of Proposed Questions and Methodology
0935-0188 Pre-test of an Assisted Living Consensus Instrument
0935-0187 Evaluation of the Technical Assistance to ARRA Complex Patient Grantees Project
0935-0186 Barriers to Meaningful Use in Medicaid
0935-0185 Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery
0935-0184 Connecting Primary Care Practices with Hard-to-Reach Adolescent Populations
0935-0183 Pilot Test of the Proposed Pharmacy Survey on Patient Safety Culture
0935-0182 Health IT Tool Evaluation
0935-0181 Comparative Effectiveness Research - Continuing Education
0935-0180 Understanding Development Methods from Other Industries to Improve the Design of Consumer Health IT
0935-0179 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
0935-0178 Improving Patient Safety System Implementation for Patients with Limited English Proficiency
0935-0177 Standardizing Antibiotic Use in Long-term Care Setting
0935-0176 Development of the Guide to Patient and Family Engagement in Health Care Quality and Safety in the Hospital Setting
0935-0175 Synthesis Reports for Grants and Cooperative Agreements for Transforming Healthcare Quality through Information Technology (THQIT)
0935-0174 Evaluation of the National Guideline Clearinghouse
0935-0173 Avoiding Readmissions in Hospitals Serving Diverse Patients
0935-0172 Reduction of Clostridium difficile Infections in a Regional Collaborative of Inpatient Healthcare Settings through Implementation of Antimicrobial Stewardship
0935-0171 Standardizing Antibiotic Use in Long-Term Care Settings (SAUL) Study
0935-0170 Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program
0935-0169 National Hospital Adverse Event Reporting System: Questionnaire Redesign and Testing
0935-0168 Spreading Techniques to Radically Reduce Antibiotic Resistant Bacteria (Methicillin Resistant Staphylococcus aureus, or MRSA)
0935-0167 Reduction of Infections Caused by KPC producing organisms Through Application of Recently Developed CDC/HICPAC Recommendations
0935-0166 Studying the Implementation of a Chronic Care Toolkit and Practice Coaching In Practices Serving Vulnerable Populations
0935-0165 Collection of Information for Agency for Healthcare Research and Qualitys (AHRQ) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey Comparative Database
0935-0164 Updating and Expanding the AHRQ Quality Indicators Toolkit for Hospitals
0935-0163 Evaluation of the GuideLines Into Decision Support (GLIDES)
0935-0162 Collection of Information for AHRQ's Hospital Survey on Patient Safety Culture Comparative Database
0935-0161 Study of Factors Influencing Consumer Choices Among Health Plans and Clinicians
0935-0160 Evaluation of AHRQ's Effective Health Care Program
0935-0159 Health IT Community Tracking Study 2009
0935-0158 CAHPS Field Test of Proposed Health Information Technology Questions and Methodology
0935-0157 Health Literacy Item Set Supplemental to CAHPS Hospital Survey - Pretest of Proposed Questions and Methodology
0935-0156 Coordinating Care across Primary Care and Specialty Care Practices
0935-0155 Evaluation of Phase I Demonstrations of the Pharmacy Quality Alliance
0935-0154 Understanding Patient's Knowledge and Use of Acetaminophen
0935-0153 Reducing Waste and Inefficiency through Process Redesign: Lean/TPS Implementation
0935-0152 Assessing Organizational Responses to AHRQ's Health Literacy Pharmacy Tools
0935-0151 Improving Patient Flow and Reducing Emergency Department Crowding
0935-0150 Overcoming Barriers to Expanded Health Information Exchange (HIE) Participation in Indiana
0935-0149 The AHRQ Data Inventory
0935-0148 Establishing Comparative Data for the Medical Office Survey on Patient Safety
0935-0147 AHRQ Healthcare Innovations Exchange Innovator Interview and AHRQ Healthcare Innovations Exchange Innovator Email Submission Guidelines
0935-0146 Health Care Systems for Tracking Colorectal Cancer Screening Tests
0935-0145 Assessing the Impact of the Patient Safety Improvement Corps (PSIC) Training Program
0935-0144 Reducing Healthcare Associated Infections (HAI): Improving patient safety through implementing multi-disciplinary interventions
0935-0143 Patient Safety Organization Certification for Initial Listing and Related Forms, Patient Safety Confidentiality Complaint Form, and Common Formats
0935-0142 Focus Groups on Consumer Engagement in Developing Electronic Health Information Systems
0935-0141 Feasibility of secure messaging for pediatric patients with chronic disease: Pilot implementation in pediatric respiratory medicine
0935-0140 Improving Quality through Health IT: Testing the Feasibility and Assessing the Impact of Using Existing Health IT Infrastructure for Better Care Delivery
0935-0139 Assessment of the Emergency Severity Index (ESI)
0935-0138 Evaluation of the Effectiveness of the Agency for Healthcare Research and Quality's (AHRQ) Grant-Supported Research on Healthcare Costs, Productivity, and Market Forces
0935-0137 Technical Assistance for Health IT and Health Information Exchange in Medicaid and SCHIP
0935-0136 Evaluation of a Medication Therapy Management Program to Improve Patient Safety in Medicare Beneficiaries
0935-0135 Development of an Electronic System for Reporting Medication Errors and Adverse Drug Events in Primary Care Practice (MEADERS)
0935-0134 Chartering Value Exchanges for Value-driven Health Care
0935-0133 Improving Quality of Care in Long-Term Care
0935-0132 Pilot Study of Proposed Nursing Home Survey on Resident Safety
0935-0131 Pilot Study of Proposed Medical Office Surveys on Patient Safety
0935-0130 Evaluation of the Implementation and Impact of Pay-for-Quality Programs
0935-0129 Assessment of Unreimbursed Care among Community Primary Care Physicians
0935-0128 Eisenberg Center Voluntary Customer Survey Generic Clearance for the AHRQ
0935-0127 Privacy and Security Solutions for Interoperable Electronic Health Information Exchange
0935-0125 National Study of the Hospital Adverse Event Reporting Survey
0935-0124 Questionnaire and Data Collection Testing, Evaluation, and Research for the Agency for Healthcare Research and Quality
0935-0123 AHRQ-HRSA CBRNE Preparedness Questionnaire for Healthcare Facilities
0935-0122 AHRQ Research Reporting System (ARRS)
0935-0121 CAHPS II Reports Laboratory Experiment
0935-0120 National Children's Study Pilot: Primary Care Practice-Based Research Networks (PBRNs)
0935-0118 Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC)
0935-0117 Surveys of Employee Benefit Managers of Large National Employers Concerning Dissemination Effectiveness of Health Services Research Information
0935-0116 Needs Assessment of Primary Care Practice-Based Research Networks (PBRNs)
0935-0115 Pilot Data for the Development of Hospital Patient Safety Culture Survey
0935-0114 Pilot Study of Hospital Adverse Event Reporting Survey
0935-0113 Enrolle Survey of Relationship Between Out-of-Pocket Costs and Use of Prescribed Medications
0935-0112 Primary Care Network Survey (PRINS)
0935-0111 National Guideline Clearinghouse (NGC) Web Site Evaluation
0935-0110 Medical Expenditure Panel Survey - Insurance Component (MEPS-IC)
0935-0108 Medical Expenditure Panel Survey Medical Provider Component (MEPS-MPC) for 2001 and 2002
0935-0107 Voluntary Customers Surveys of "Partners" for Agency for Healthcare Research and Quality
0935-0106 Voluntary Customer Surveys Generic Clearance for the Agency for Healthcare Research and Quality
0935-0105 Medical Expenditure Panel Survey-Insurance Component (MEPS-IC) for 1998 and 1999
0935-0104 Medical Expenditure Panel Survey Household Component (MEPS-HC) - 2001 through 2004
0935-0103 A Survey of Clinical Decision Support System (CDSS)
0935-0101 Choice Care: A Medicaid Consumers Value/Preference and Report Card Model for Health Plan Selection
0935-0099 National Nursing Home Expenditure Survey (NNHES) of the National Medical Expenditure Survey (NMES-3)
0935-0098 Pretest and Main Rounds of Medical Expenditure Panel Survey - Household Components (MEPS-HC) - formerly known as: Household Surveys of National Medical Expenditures Survey (NMES-3)........
0935-0097 Pretest for the 1997 Medical Expenditure Survey Insurance Component
0935-0096 PRETEST OF ROUND 1 FOR THE HOUSEHOLD COMPONENT (FAMES) OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES-3)
0935-0095 National Nursing Home Expenditure Survey: National Medical Expenditure Survey, Pretest, Rounds 2 and 3
0935-0094 SCREENER ROUND, NATIONAL NURSING HOME EXPENDITURE SURVEY, NATIONAL MEDICAL EXPENDITURE SURVEY-PRETEST
0935-0093 PRETEST OF SCREENER/BASELINE ROUND FOR THE HOUSEHOLD COMPONENT (FAMES) OF THE NATIONAL MEDICAL EXPENDITURE SURVEY, NMES-3
0935-0090 SCHIZOPHRENIA PATIENT OUTCOME RESEARCH TEAM (PORT)
0935-0089 PEDIATRIC GASTROENTERITIS PATIENT OUTCOMES RESEARCH PROJECT
0935-0088 PHYSICIAN AND PATIENT SURVEYS TO EVALUATE THE AHCPR-SPONSORED CLINICAL PRACTICE GUIDELINES FOR BENIGN PROSTATIC HYPERPLASIA
0935-0087 METHODOLOGY STUDY FOR THE INSTITUTIONAL POPULATION COMPONENT OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES), ROUND 3
0935-0086 PATIENT AND PHYSICIAN SURVEYS RELATED TO THE SECONDARY AND TERTIARY PREVENTION OF STROKE: PATIENT OUTCOME RESEARCH TEAM (PORT)
0935-0085 THE FEASIBILITY STUDY FOR THE HOUSEHOLD COMPONENT OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES), PATIENT VERIFICATION SURVEY
0935-0084 METHODOLOGY STUDY FOR THE INSTITUTIONAL POPULATION COMPONENT OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES), ROUND 2
0935-0083 VARIATIONS IN MANAGEMENT OF CHILDBIRTH AND PATIENT OUTCOMES
0935-0082 EVALUATION OF A COMPREHENSIVE HOSPTIAL INFORMATION SYSTEM
0935-0081 THE FEASIBILITY STUDY FOR THE HOUSEHOLD COMPONENT OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES): ROUNDS 2 AND 3
0935-0080 METHODOLOGY STUDY FOR THE INSTITUTIONAL POPULATION COMPONENT OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES), ROUND 1
0935-0079 STUDY OF ACCURACY AND COMPLETENESS OF THE MEDICARE INPATIENT CLAIMS DATA FILE
0935-0078 THE MEDICARE BENEFICIARY HEALTH STATUS REGISTRY, PILOT STUDY
0935-0075 ROUND 1 OF THE FEASIBILITY STUDY FOR THE HOUSEHOLD COMPONENT OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES)
0935-0074 POST-HOSPITALIZATION OUTCOMES STUDIES
0935-0073 AIDS COST AND SERVICE UTILIZATION SURVEY
0935-0072 SCREENER/BASELINE ROUND OF THE FEASIBILITY STUDY FOR THE HOUSEHOLD COMPONENT OF THE NATIONAL MEDICAL EXPENDITURE SURVEY (NMES)
0935-0071 HEALTH SYSTEMS AGENCY APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AND RELATED REPORTING REQUIREMENTS
0935-0069 ANALYSIS OF THE CURRENT LEVEL OF RESOURCES USED IN GERIATRIC DENTAL EDUCATION
0935-0068 NATIONAL SAMPLE SURVEY OF LICENSED PRACTICAL/VOCATIONAL NURSES
0935-0066 HRA NON-COMPETING TRAINING GRANT APPLICATION AND SUPPLEMENTS
0935-0065 HRA COMPETING TRAINING GRANT APPLICATIONS AND SUPPLEMENTS
0935-0064 SURVEY OF RECENT OPTOMETRY GRADUATES TO DETERMINE PRACTICE PATTERNS
0935-0063 SURVEY OF DENTAL HYGIENE PRACTICE IN NON-TRADITIONAL SETTINGS
0935-0062 PODIATRIC RESIDENCY PROGRAM SURVEY
0935-0061 STUDY OF FUNCTIONING AND LOCATION OF U.S. CITIZEN FOREIGN MEDICAL GRADUATES WITHIN THE U.S. MEDICAL DELIVERY SYSTEM
0935-0060 IMPACT OF COMMUNITY ORGANIZATION HEALTH CAREER OPPORTUNITY PROGRAMS
0935-0059 APPLICATION GUIDELINES FOR DESIGNATION AND GRANT AWARD AND REPORTING SYSTEM FOR SHPDAS
0935-0057 NATIONAL STUDY OF INTERNAL MEDICINE MANPOWER (NASIMM)
0935-0056 STUDY OF THE UTILIZATION AND EFFECT OF TEMPORARY NURSING SERVICES (TNSS)
0935-0055 REQUEST FOR APPROVAL AS A SUPPLIER OF ESRD SERVICES IN THE MEDICARE PROGRAM
0935-0053 AN EVALUATION OF THE EFFECTS OF NATIONAL HEALTH SERVICE CORPS PHYSICIAN PLACEMENT DELIVERY IN RURAL AREAS UPON MEDICAL CARE
0935-0052 RECORDKEEPING AND REPORTING REQUIREMENTS FOR LIMITATIONS ON FEDERAL PARTICIPATION FOR CAPITAL EXPENDITURES UNDER SEC. 1122 OF SOCIAL SECURITY ACT
0935-0051 EXCEPTIONAL FINANCIAL NEED SCHOLARSHIP PROGRAM STUDY QUESTIONNAIRE
0935-0050 APPLICATION FOR COOPERATIVE AGREEMENT FOR CONTINUATION SUPPORT OF 11 AREA HEALTH EDUCATION CENTER (AHEC) PROJECTS
0935-0048 SURVEY OF PARTICIPANTS AND NON-PARTICIPANTS IN HEALTH PROFESSIONS STUDENT LOAN REPAYMENT PROGRAM
0935-0047 AN EVALUATION OF ENROLLMENT TRENDS OF MINORITY STUDENTS IN PRE-HEALTH SCIENCES AND HEALTH SCIENCES SCHOOLS -- STUDENT PANEL SURVEY
0935-0046 STUDY OF NP PROGRAMS, STUDENTS, GRADUATES, AND EMPLOYERS OF NP'S
0935-0045 HEALTH PLANNING PERFORMANCE EVALUATION ON HEALTH PROMOTION/ DISEASE PREVENTION
0935-0044 FEASIBILITY STUDY OF DENTAL PRACTICE LOCATION
0935-0043 EVALUATION OF THE EFFECTIVENESS OF THE PLACEMENT MECHANISM IN PHYSICIAN ASSISTANTS TRAINING PROGRAM
0935-0042 READERSHIP SURVEY: HEALTH PLANNING NEWSLETTER
0935-0040 SURVEY OF DENTISTS IN RELATIONSHIP TO GENERAL PRACTICE RESIDENCY TRAINING
0935-0039 NATIONAL SAMPLE SURVEY OF REGISTERED NURSES II
0935-0038 INSTITUTIONALIZATION OF FAMILY MEDICINE
0935-0031 A STUDY OF DENTAL HEALTH-RELATED AND PROCESS OUTCOMES WITH PREPAID DENTAL CARE
0935-0023 APPLICATION TO PARTICIPATE IN THE NURSING CAPITATION GRANT PROGRAM
0935-0022 SURVEY INSTRUMENT FOR HEALTH PLANNING PERFORMANCE EVALUATION PROGRAM
0935-0021 UNCOMPENSATED AND COMMUNITY SERVICES ASSURANCES SYSTEM
0935-0020 SUPPLEMENTAL TO THE APPLICATION TO CONTINUE PARTICI- PATION IN THE NURSING SCHOLARSHIP PROGRAM STUDENT LOAN OR SCHOLARSHIP PROGRAM
0935-0019 OTHER REASONABLE EDUCATIONAL EXPENSES FORM - NHSC AND EFN SCHOLARSHIP
0935-0018 ANNUAL SPACE UTILIZATION AND ENROLLMENT REPORT FOR NURSING AND HEALTH PROFESSIONS
0935-0017 HEALTH SYSTEMS AGENCY APPLICATION FOR DESIGNATION, GRANT APPLICATIONS AND RELATED REPORT FORMS
0935-0016 APPLICATION FOR SCHOLARSHIP-FIRST YEAR STUDENTS OF EXCEPTIONAL FINANCIAL NEED
0935-0015 APPLICATION FORM NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP PROGRAM
0935-0014 APPLICATION FOR SCHOOLS OF MEDICINE-SPECIAL REQUIREMENTS AND ASSURANCES UNDER HEALTH PROFESSIONS CAPITATION
0935-0011 HILL-BURTON ASSURANCEW REPORTING FORM
0935-0009 HEALTH PROFESSIONS AND NURSING STUDENT LOAN REPAYMENT PROGRAM
0935-0008 REQUEST FOR DEFERMENT - REQUEST FOR CHANGE IN DEFERMENT
0935-0007 FACULTY EVALUATION FORM - PUBLIC HEALTH AND NATIONAL HEALTH SERVICE CORPS SCHOLARSHIP
0935-0006 APPLICATION TO PARTICIPATE IN THE HEALTH PROFESSIONS CAPITATION GRANT PROGRAM
0935-0003 RECORD OF STATE AND LOCAL ACTION UNDER SECTION 1122 OF THE SOCIAL SECURITY ACT
0935-0002 DENTAL TEAM PRACTICE ANNUAL PROGRESS REPORT
0935-0001 STUDENT LOAN & SCHOLARSHIP PROGRAMS, HEALTH PROFESSIONS AND NURSING

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