Form Project Status Upd Project Status Upd Project Status Update Form

Health Care and Other Facilities Project Status Update Form

HCOF Monitoring Form Rev DFCR June 1 2007.xls

Health Care and Other Facilities Project Status Update Form- Equipment Only

OMB: 0915-0309

Document [xlsx]
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OMB No.  0915-XXXX





Expiration Date:
Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0915-xxxx. Public reporting burden for this collection of information is estimated to average xx hours per respondent annually, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 10-33, Rockville, Maryland, 20857.
"Health Care and Other Facilities" (HCOF) Project Status Update Form
Facility Name
Facility State
Award Number

Previously Reported Information Current Information
Project Completion Percentage

Drawdown Percentage

Start Date

Completion Date

Current Status (maximum of 1,000 characters)
File Typeapplication/vnd.ms-excel
AuthorHRSA
Last Modified ByLWright-Solomon
File Modified2007-06-04
File Created2007-02-22

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