Rural Health Clinic COVID-19 (RHC COVID-19) Testing Program Data Collection

Rural Health Clinic COVID-19 (RHC COVID-19)Testing Program Data Collection

OMB: 0906-0056

IC ID: 243770

Information Collection (IC) Details

View Information Collection (IC)

Rural Health Clinic COVID-19 (RHC COVID-19) Testing Program Data Collection
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 HRSA FORHP COVID-19 Data Report 12.18.2020.docx HRSA FORHP COVID-19 Data Report 12.18.2020.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,406 2,358
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 28,872 0 0 0 0 28,872
Annual IC Time Burden (Hours) 7,218 0 0 0 0 7,218
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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