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pdfAppendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Direct Financial Support Programs
Activity
Code
T25
Name
Form
Columns List
Addiction Medicine Fellowship
CDE-1
1,2,3,4,8,11,12
T25
Addiction Medicine Fellowship
CDE-2
1,2,3,4,5,7,8,9
T25
Addiction Medicine Fellowship
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
T25
Addiction Medicine Fellowship
1,2,3,4,5,6,7
T25
Addiction Medicine Fellowship
T25
Addiction Medicine Fellowship
EXP-2
Faculty
Development
Setup
FD-1a
T25
Addiction Medicine Fellowship
FD-1b
1,2,3
T25
Addiction Medicine Fellowship
FD-2a
1,2,3,4,5,6,7
T25
Addiction Medicine Fellowship
FD-2b
T25
Addiction Medicine Fellowship
IND-GEN
T25
Addiction Medicine Fellowship
INDGEN-PY
1,2,3
1,2,2a,3,4,5,6a,7,8,9,10,11,12,13,21b,22,26,26b,27,27d,27e,27f,28,29,
30,31,32,32a,33,34,34aa,34ab,34ac,36,37,38b,38f,39,56,57,58,59,60,61
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
T25
Addiction Medicine Fellowship
PC-6
1,2,4,5,6,7,8,9,10
T25
Addiction Medicine Fellowship
1,2,3,4,5,6
T25
Addiction Medicine Fellowship
PC-9
Training Program
Setup
n/a
1,1a,2,3,4,5,6,7,8,9,10,11
1,2
1
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T23
Name
Form
Columns List
Children’s Hospitals Graduate Medical Education
CHD-1
1,2,3,4
T23
Children’s Hospitals Graduate Medical Education
CHD-2
1,2,3,4,5
T23
Children’s Hospitals Graduate Medical Education
CHD-3
1,2,3,4
T23
Children’s Hospitals Graduate Medical Education
EXP-1
1,2,3,4,5,7,7a,7b,8,10,11,12,13,14
T23
Children’s Hospitals Graduate Medical Education
EXP-2
T23
Children’s Hospitals Graduate Medical Education
IND-GEN
T23
Children’s Hospitals Graduate Medical Education
INDGEN-PY
1,2,3,4,6,7
1,2,2a,3,3a,4,5,6a,7,8,9,10,11,12,22,25,26,26b,27,27a,27d,27e,27f,28,29,
30,31,32,33,34,36,37,39,56,57,58,59,60,61
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
T23
Children’s Hospitals Graduate Medical Education
PC-10
1,2,3,4,5,6,7,8,9
T23
Children’s Hospitals Graduate Medical Education
PC-6
1,2,3
T23
Children’s Hospitals Graduate Medical Education
PC-8
1,2,4,12
T23
Children’s Hospitals Graduate Medical Education
PC-9
1,2,3,4,5,7
T23
Children’s Hospitals Graduate Medical Education
1,2,3,4,5,6,7,8
T23
Children’s Hospitals Graduate Medical Education
PCC
Training Program
Setup
1,2
2
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
Name
D87
Dental Faculty Loan Repayment Program
D87
Dental Faculty Loan Repayment Program
Faculty
Development
Setup
FD-1a
D87
Dental Faculty Loan Repayment Program
FD-1b
1,2,3
D87
Dental Faculty Loan Repayment Program
FD-2a
1,2,3,4,5,6,7
D87
Dental Faculty Loan Repayment Program
FD-2b
1,2,3
D87
Dental Faculty Loan Repayment Program
FD-4a
1,1a,2,3,4,5
D87
Dental Faculty Loan Repayment Program
FD-4b
1,2,3
D87
Dental Faculty Loan Repayment Program
1,2,3
D87
Dental Faculty Loan Repayment Program
D87
Dental Faculty Loan Repayment Program
FD-5
Grant Purpose
Form
IND-GEN
D87
Dental Faculty Loan Repayment Program
INDGEN-PY
2,3,4,5,6a,7,8,9,10,13,14,16,17,18
Form
Columns List
n/a
1,1a,2,3,4,5,6,7,8,9,10,11
See performance measures document, grant purpose section
2,2a,3,4,5,6a,7,8,9,10,11,12,18,21b,22,23,23a,24,26b,27,27d,36,37,50
3
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
K01
Name
Form
Columns List
Geriatric Academic Career Award
CDE-1
1,2,3,4,8,11,12
K01
Geriatric Academic Career Award
1,2,3,4,5,7,8,9
K01
Geriatric Academic Career Award
K01
Geriatric Academic Career Award
CDE-2
Faculty
Development
Setup
FD-4a
K01
Geriatric Academic Career Award
FD-4b
K01
Geriatric Academic Career Award
IND-GEN
1,2,3
2,2a,3,4,5,6a,7,8,9,10,11,12,17,21b,22,26,26b,27,27d,27e,28,29,31,32,
33,34,36,37,39,40,41,42,43,44,45,46,47,48,49,56,57,58,59,60,61
n/a
1,1a,2,3,4,5
4
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
H56
H56
Name
National Health Service Corps- State Loan
Repayment Program
National Health Service Corps- State Loan
Repayment Program
Form
Columns List
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14,15,16
IND-GEN
2,2a,4,5,6a,7,8,9,10,11,12,21d,21e,21h,22a,27,27aa,37,80,81,82,83,84,
85,86,87,88,89,90,91,92
5
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T32
Name
Form
Columns List
National Research Service Award in Primary Care
CDE-1
1,2,3,4,8,11,12
T32
National Research Service Award in Primary Care
1,2,3,4,5,7,8,9
T32
National Research Service Award in Primary Care
T32
National Research Service Award in Primary Care
CDE-2
Faculty
Development
Setup
FD-1a
T32
National Research Service Award in Primary Care
FD-1b
1,2,3
T32
National Research Service Award in Primary Care
FD-2a
1,2,3,4,5,6,7
T32
National Research Service Award in Primary Care
FD-2b
1,2,3
T32
National Research Service Award in Primary Care
FD-4a
1,1a,2,3,4,5
T32
National Research Service Award in Primary Care
FD-4b
T32
National Research Service Award in Primary Care
IND-GEN
T32
National Research Service Award in Primary Care
INDGEN-PY
1,2,3
2,3,3b,4,5,6a,7,8,9,10,11,12,13,14,20,21b,22,26,26b,27,27d,27e,28,29,
30,31,32,33,34,36,37,38,39,40,41,42,43,44,45,46,47,48,49
2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
n/a
1,1a,2,3,4,5,6,7,8,9,10,11
6
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
A22
Name
Form
Columns List
Nurse Anesthetist Traineeship
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
A22
Nurse Anesthetist Traineeship
EXP-2
A22
Nurse Anesthetist Traineeship
IND-GEN
A22
Nurse Anesthetist Traineeship
INDGEN-PY
1,2,3,4,5,6,7
1,2,2a,3,4,5,6a,7,8,9,10,11,12,14,21b,22,26,26a,26b,27d,27e,27f,28,29,
30,31,32,32a,33,34,34aa,36,37,39
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
A22
Nurse Anesthetist Traineeship
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
A22
Nurse Anesthetist Traineeship
1,2,3,4,6,7,8,9,10,11,12,13
A22
Nurse Anesthetist Traineeship
PC-1
Training Program
Setup
1,2
7
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
Name
Form
Columns List
E01
Nurse Faculty Loan Program
Grant Purpose
Form
See performance measures document, grant purpose section
E01
Nurse Faculty Loan Program
IND-GEN
E01
Nurse Faculty Loan Program
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,16,21b,22,26,26b,27d,36,37,38,38c,39,56,
57,58,59,60,61
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,15,16,17,18
E01
Nurse Faculty Loan Program
NFLP 1
n/a
E01
Nurse Faculty Loan Program
NFLP 2
n/a
E01
Nurse Faculty Loan Program
NFLP 3
n/a
E01
Nurse Faculty Loan Program
NFLP 4
n/a
E01
Nurse Faculty Loan Program
1,2,3,4,7,8,9,10,11,12,13
E01
Nurse Faculty Loan Program
PC-1
Training Program
Setup
1,2
8
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
K02
K02
K02
K02
K02
K02
K02
K02
K02
K02
Name
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Primary Care Medicine and Dentistry- Clinician
Educator Career Development Awards
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,5,7,8,9
Faculty
Development
Setup
n/a
FD-1a
1,1a,2,3,4,5,6,7,8,9,11
FD-1b
1,2,3
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
FD-4a
1,1a,2,3,4,5
FD-4b
1,2,3
IND-GEN
2,2a,3,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27,27d,27e,27f,28,
29,30,31,32,33,34,36,37,38,39,40,41,42,43,44,45,46,47,48,49
9
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T13
T13
T13
T13
T13
T13
T13
T13
T13
T13
T13
T13
Name
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Primary Care Training and Enhancement (PCTE):
Training Primary Care Champions
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
Faculty
Development
Setup
n/a
FD-1a
1,1a,2,3,4,5,6,7,8,9,11
FD-1b
1,2,3
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
FD-3
1,1a,2,3,8,9
FD-4a
1,1a,2,3,4,5
FD-4b
1,2,3
IND-GEN
2,2a,3,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27,27d,27e,27f,28,29,
30,31,32,32a,33,34,34aa,36,37,39,44,45,46,47,48,49
INDGEN-PY
2,3,4,5,6a,7,8,9,10,12,13,14,18
10
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T08
Name
Form
Columns List
Scholarships for Disadvantaged Students
EXP-1
T08
Scholarships for Disadvantaged Students
IND-GEN
T08
Scholarships for Disadvantaged Students
INDGEN-PY
1,2,3,4,6,7
1,2,3,4,5,6a,7,8,9,10,11,12,15,21b,22,26b,27d,27e,28,29,31,32,33,34,
34a,34b,36a,38,39
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
T08
Scholarships for Disadvantaged Students
T08
Scholarships for Disadvantaged Students
PC-1
Training Program
Setup
1,2,3,4,5,7, 8,10,11,12,13
1,2
11
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T96
Name
Form
Columns List
Sexual Assault Nurse Examiners
CDE-1
1,2,3,4,8,11,12
T96
Sexual Assault Nurse Examiners
CDE-2
1,2,3,4,5,7,8,9
T96
Sexual Assault Nurse Examiners
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
T96
Sexual Assault Nurse Examiners
1,2,3,4,6,7
T96
Sexual Assault Nurse Examiners
EXP-2
Faculty
Development
Setup
T96
Sexual Assault Nurse Examiners
INDGEN
T96
Sexual Assault Nurse Examiners
INDGEN-PY
1,2,3,3b,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26a,26b,27,27a,27d,28,31,
33,34ab,34ac,34ad,34a,35,36,36a,37,38,38a,38b,39,45a,45b
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,18
T96
Sexual Assault Nurse Examiners
PC-1
1,2,3,4,6
T96
Sexual Assault Nurse Examiners
PC-3
1,2,3,4,9,10
T96
Sexual Assault Nurse Examiners
1,2,3
T96
Sexual Assault Nurse Examiners
PC-5
Training Program
Setup
n/a
1,2
12
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T91
T91
T91
T91
T91
T91
T91
T91
T91
T91
T91
T91
T91
T91
T91
Name
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Teaching Health Center Graduate Medical
Education
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,12,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-1a
1,1a,2,3,4,5,6,7,8,9,10,11
FD-1b
1,2,3
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
IND-GEN
1,2,2a,3,3a,4,5,6a,7,8,9,10,11,12,13,14,20,21b,22,25,26,26b,27,27c,27d,
27e,27f,28,29,30,31,32,32a,33,34,34aa,34ab,36,37,39,56,57,58,59,60,61
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
PC-6
1,2,3,3a,4,5,6,7,8,9,10
PC-8
1,2,4,4a,5,6,7,8,9,10,11
PC-9
1,2,3,4,5,6
Training Program
Setup
1,2
13
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Infrastructure Programs
Activity
Code
T94
Name
Form
Columns List
Advanced Nursing Education Workforce
CDE-1
1,2,3,4,8,11,12
T94
Advanced Nursing Education Workforce
CDE-2
1,2,3,4,5,7,8,9
T94
Advanced Nursing Education Workforce
CE-1
1,2,3,4,5,6,8,9,10,11,12
T94
Advanced Nursing Education Workforce
CE-2
1,2,3,4
T94
Advanced Nursing Education Workforce
DV-1
1,2,2a,6a,7a,11a,18
T94
Advanced Nursing Education Workforce
DV-2
1,12,13,14,15,16
T94
Advanced Nursing Education Workforce
DV-3
1,8,9,7
T94
Advanced Nursing Education Workforce
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
T94
Advanced Nursing Education Workforce
1,2,3,4,5,6,7
T94
Advanced Nursing Education Workforce
T94
Advanced Nursing Education Workforce
EXP-2
Faculty
Development
Setup
FD-1a
T94
Advanced Nursing Education Workforce
FD-1b
1,2,3
T94
Advanced Nursing Education Workforce
FD-2a
1,2,3,4,5,6,7
T94
Advanced Nursing Education Workforce
FD-2b
1,2,3
T94
Advanced Nursing Education Workforce
FD-4a
1,1a,2,3,4,5
T94
Advanced Nursing Education Workforce
FD-4b
T94
Advanced Nursing Education Workforce
INDGEN
T94
Advanced Nursing Education Workforce
INDGEN-PY
1,2,3
1,2,2a,3,3b,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27,27d,27e,28,
29,31,32,33,34,34a,34b,36,36a,37,38,38b,39,40,41,42,43,44,45,45a,45b
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
T94
Advanced Nursing Education Workforce
LR-1a
1,1a,6a,7,8,16
T94
Advanced Nursing Education Workforce
LR-2
1,2,2a,6a,7a,11a,18
T94
Advanced Nursing Education Workforce
1,2,3,4,6,6d
T94
Advanced Nursing Education Workforce
PC-1
Training Program
Setup
n/a
1,1a,1b,2,3,5,6,7,8,9,10,11
1,2
14
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
U77
Name
Form
Columns List
Area Health Education Centers
CDE-1
1,2,3,4,8,11,12,13
U77
Area Health Education Centers
CDE-2
1,2,3,5,7,8,9
U77
Area Health Education Centers
CE-1
1,2,3,4,5,6,8,9,10,11,12,13,16
U77
Area Health Education Centers
CE-2
1,2,3,4
U77
Area Health Education Centers
DV-1
1,2,2a,7,7a,12,12a,17,18
U77
Area Health Education Centers
DV-2
1,10,11,12,13,14
U77
Area Health Education Centers
DV-3
1,6,7,8
U77
Area Health Education Centers
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,12,13,14
U77
Area Health Education Centers
1,2,3,4,5,6,7
U77
Area Health Education Centers
EXP-2
Grant Purpose
Form
U77
Area Health Education Centers
IND-GEN
U77
Area Health Education Centers
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26a,26b,27,27a,27b,27d,27e,
28,29,31,32,33,34,34a,34b,36,36a,37,38,39
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
U77
Area Health Education Centers
LR-1a
1,1a,6,7,8,16
U77
Area Health Education Centers
LR-2
1,2,2a,7,7a,12,12a,17,18
U77
Area Health Education Centers
PC-1
1,2,3,6
U77
Area Health Education Centers
PC-2
1,2,3,4,5,6,6a,7
U77
Area Health Education Centers
PC-3
1,2,3,4,5,6,7,8,9,9a,10
U77
Area Health Education Centers
1,2,3,3a,3b
U77
Area Health Education Centers
PC-7
Training Program
Setup
See performance measures document, grant purpose section
1,2
15
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
UD7
Name
Form
Columns List
Interprofessional Collaborative Practice
DV-1
1,2,3,7,8,12,18
UD7
Interprofessional Collaborative Practice
DV-2
1,2,3,10,11,12
UD7
Interprofessional Collaborative Practice
DV-3
1,2,6,7
UD7
Interprofessional Collaborative Practice
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
UD7
Interprofessional Collaborative Practice
1,2,3,4,5,6,7
UD7
Interprofessional Collaborative Practice
UD7
Interprofessional Collaborative Practice
EXP-3
Faculty
Development
Setup
FD-1a
UD7
Interprofessional Collaborative Practice
FD-1b
1,2,3
UD7
Interprofessional Collaborative Practice
FD-2a
1,2,3,4,5,6,7
UD7
Interprofessional Collaborative Practice
FD-2b
1,2,3
UD7
Interprofessional Collaborative Practice
LR-1a
1,2,6,7,8,16
UD7
Interprofessional Collaborative Practice
LR-2
1,2,3,7,8,12,18
UD7
Interprofessional Collaborative Practice
1,2,3,4,5,9,10
UD7
Interprofessional Collaborative Practice
PC-3
Training Program
Setup
n/a
1,1a,2,3,4,5,6,7,8,9,10
1,2
16
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
U4E
U4E
U4E
U4E
U4E
U4E
U4E
U4E
U4E
U4E
U4E
U4E
U4E
U4E
U4E
Name
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Nurse Education, Practice, Quality and Retention
(NEPQR) Simulation Education Training
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
DV-1
1,2,2a,6a,7a,11a,18
DV-2
1,13,14,15,16,12
DV-3
1,8,9,7
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
LR-1a
1,1a,6a,7,8,16
LR-2
1,2,2a,6a,7a,11a,18
PC-3
1,2,4,9,10
PC-7
1,3,3a,3b
Training Program
Setup
1,2
17
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Multipurpose or Hybrid Programs
Activity
Code
T14
T14
T14
T14
T14
T14
T14
T14
T14
T14
T14
Name
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
CE-1
1,2,3,4,5,6,8,9,10,11,12
CE-2
1,2,3
EXP-1
1,2,3,4,5,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-1a
1,1a,1b,5,6,7,8,9,10,11
FD-1b
1,2,3
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
T14
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
IND-GEN
1,2,2a,3,3b,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27,27a,27b,27c,27d,
27e,27f,28,29,30,31,32,32a,33,34,34aa,34ab,34ac,36,36a,37,39,45a,45b,
56,57,58,59,60,61
T14
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,12,13,14,18
T14
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
PC-8
1,2,3,4,4a,5,6,7,8,9,10,11
T14
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency
Training Program
Setup
1,2
18
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T58
T58
T58
T58
T58
T58
T58
T58
T58
T58
T58
Name
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
CE-1
1,2,3,4,5,6,8,9,10,11,12
CE-2
1,2,3
EXP-1
1,2,3,4,5,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-1a
1,1a,1b,5,6,7,8,9,10,11
FD-1b
1,2,3
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
T58
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
IND-GEN
1,2,2a,3,3b,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27,27a,27b,27c,
27d,27e,27f,28,29,30,31,32,32a,33,34,34aa,34ab,34ac,36,36a,37,39,45a,
45b,56,57,58,59,60,61
T58
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,12,13,14,18
T58
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
PC-8
1,2,4,4a,5,6,7,8,9,10,11
T58
Advanced Nursing Education (ANE) - Nurse
Practitioner Residency Integration Program
Training Program
Setup
1,2
19
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
M01
M01
M01
M01
M01
M01
M01
M01
M01
M01
M01
M01
M01
M01
Name
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Behavioral Health Workforce Education and
Training
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
Grant Purpose
Form
See performance measures document, grant purpose section
IND-GEN
1,2,3,4,5,6a,7,8,9,10,11,12,13,13a,21b,22,26,26b,27,27d,27e,28,29,31,
32,33,34,36,37,38,39,56,57,58,59,60,61
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
PC-1
1,2,3,4,6,7,8,9,10,11,12,13
PC-4
1,2,3,4,5,6,7,8,9,10
PC-7
1,2,3,4,5,6,7,8,9,10
Training Program
Setup
1,2
20
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
D34
Name
Form
Columns List
Centers of Excellence
CDE-1
1,2,3,4,8,11,12,13
D34
Centers of Excellence
CDE-2
1,2,3,4,5,7,8,9
D34
Centers of Excellence
DV-1
1,2,3,7,8,12,13,17
D34
Centers of Excellence
DV-2
1,2,3,10,11,12
D34
Centers of Excellence
DV-3
1,2,6,7
D34
Centers of Excellence
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
D34
Centers of Excellence
1,2,3,4,5,6,7
D34
Centers of Excellence
D34
Centers of Excellence
EXP-2
Faculty
Development
Setup
FD-1a
D34
Centers of Excellence
FD-1b
1,2,3
D34
Centers of Excellence
FD-2a
1,2,3,4,5,6,7,8
D34
Centers of Excellence
FD-2b
1,2,3
D34
Centers of Excellence
1,1a,2,3,4,5,6,7,8,9
D34
Centers of Excellence
FD-3
Grant Purpose
Form
D34
Centers of Excellence
IND-GEN
D34
Centers of Excellence
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,13,21b,22,26b,27,27d,27e,28,29,31,32,33,
34,34a,34b,36,37,38,38a,38b,39
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
D34
Centers of Excellence
LR-1a
1,2,6,7,8,16
D34
Centers of Excellence
LR-2
1,2,3,7,8,12,13,17
D34
Centers of Excellence
1,2,3,4,5,7,8,9,10
D34
Centers of Excellence
PC-3
Training Program
Setup
n/a
1,1a,2,3,4,5,6,7,8,9,10,11,12
See performance measures document, grant purpose section
1,2
21
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T93
T93
T93
T93
T93
T93
T93
T93
T93
T93
T93
T93
Name
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Dental Faculty Development and Loan
Repayment Program
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
Faculty
Development
Setup
n/a
FD-1a
1,1a,2,3,4,5,6,7,8,9,10,11
FD-1b
1,2,3
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
FD-4a
1,1a,2,3,4,5
FD-4b
1,2,3
FD-5
1,2,3
Grant Purpose
Form
See performance measures document, grant purpose section
IND-GEN
2,2a,3,4,5,6a,7,8,9,10,11,12,18,20a,21b,22,23,23a,26b,27,27d,36,37,39,
40,41,42,43
22
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
U1Q
Name
Form
Columns List
Geriatrics Workforce Enhancement Program
CDE-1
1,2,3,4,8,11,12,13
U1Q
Geriatrics Workforce Enhancement Program
CDE-2
1,2,3,4,5,7,8,9
U1Q
Geriatrics Workforce Enhancement Program
CE-1
1,1b,2,3,4,5,6,8,9,10,11,12,15,16
U1Q
Geriatrics Workforce Enhancement Program
CE-2
1,2,3,4,5
U1Q
Geriatrics Workforce Enhancement Program
DV-1
1,2,2a,7,7a,12,12a,17,18
U1Q
Geriatrics Workforce Enhancement Program
DV-2
1,10,11,13,14,12
U1Q
Geriatrics Workforce Enhancement Program
DV-3
1,8,6,7
U1Q
Geriatrics Workforce Enhancement Program
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,12,13,14
U1Q
Geriatrics Workforce Enhancement Program
1,2,3,4,5,6,7
U1Q
Geriatrics Workforce Enhancement Program
U1Q
Geriatrics Workforce Enhancement Program
EXP-2
Faculty
Development
Setup
FD-1a
U1Q
Geriatrics Workforce Enhancement Program
FD-1b
1,2,3
U1Q
Geriatrics Workforce Enhancement Program
FD-2a
1,2,3,4,5,6,7,8
U1Q
Geriatrics Workforce Enhancement Program
FD-2b
1,2,3
U1Q
Geriatrics Workforce Enhancement Program
FD-4a
1,1a,2,3,4,5
U1Q
Geriatrics Workforce Enhancement Program
FD-4b
U1Q
Geriatrics Workforce Enhancement Program
IND-GEN
U1Q
Geriatrics Workforce Enhancement Program
INDGEN-PY
1,2,3
1,2,3,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27,27d,27e,28,29,31,32,
33,34,36,37,38,39
1,2,3,4,5,6,6a,7,8,9,10,12,13,14,16,17,18
U1Q
Geriatrics Workforce Enhancement Program
LR-1a
1,1a,6,7,8,16
U1Q
Geriatrics Workforce Enhancement Program
LR-2
1,2,2a,7,7a,12,12a,17,18
U1Q
Geriatrics Workforce Enhancement Program
PC-1
1,2,3,4,6,6b,7,8,9,10,11,12,13
U1Q
Geriatrics Workforce Enhancement Program
PC-6
1,2,3,3a,4,5,6,7,8,9,10
U1Q
Geriatrics Workforce Enhancement Program
1,2,3,3a,4,5,6,7,8,9,10
U1Q
Geriatrics Workforce Enhancement Program
PC-7
Training Program
Setup
n/a
1,1a,2,3,4,5,6,7,8,9,10,11,12
1,2
23
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
D40
Name
Form
Columns List
Graduate Psychology Education
CDE-1
1,2,3,4,8,11,12
D40
Graduate Psychology Education
CDE-2
1,2,3,4,5,7,8,9
D40
Graduate Psychology Education
CE-1
1,2,3,4,5,6,8,9,10,11,12
D40
Graduate Psychology Education
CE-2
1,2,3,4
D40
Graduate Psychology Education
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
D40
Graduate Psychology Education
1,2,3,4,5,6,7
D40
Graduate Psychology Education
D40
Graduate Psychology Education
EXP-2
Faculty
Development
Setup
FD-1a
D40
Graduate Psychology Education
FD-1b
1,2,3
D40
Graduate Psychology Education
FD-2a
1,2,3,4,5,6,7
D40
Graduate Psychology Education
1,2,3
D40
Graduate Psychology Education
FD-2b
Grant Purpose
Form
D40
Graduate Psychology Education
IND-GEN
D40
Graduate Psychology Education
INDGEN-PY
1,2,2a,3,4,5,6a,7,8,9,10,11,12,13,21b,21c,22,26,26b,27,27d,27e,28,29,
31,32,33,34,34ac,36,37,39,56,57,58,59,60,61
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
D40
Graduate Psychology Education
PC-4
1,2,3,4,5,6,7,8,9,10
D40
Graduate Psychology Education
PC-6
1,2,3,4,5,6,7,8,9,10
D40
Graduate Psychology Education
PC-7
1,2,3,4,5,6,7,8,9,10
D40
Graduate Psychology Education
1,2,5,6
D40
Graduate Psychology Education
PC-9
Training Program
Setup
n/a
1,1a,2,3,4,5,6,7,8,9,10,11
See performance measures document, grant purpose section
1,2
24
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
D18
Name
Form
Columns List
Health Careers Opportunity Program
DV-1
1,2,3,7,8,12,13,17,18
D18
Health Careers Opportunity Program
DV-2
1,2,3,10,11,12
D18
Health Careers Opportunity Program
DV-3
1,2,6,7
D18
Health Careers Opportunity Program
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
D18
Health Careers Opportunity Program
EXP-2
D18
Health Careers Opportunity Program
IND-GEN
D18
Health Careers Opportunity Program
INDGEN-PY
1,2,3,4,6,7
1,2,3,4,5,6a,7,8,9,10,11,12,13,15,21b,22,26,26b,27,27d,27e,28,29,31,
32,33,34,34a,34b,36a,37,38b,38a,38,39
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
D18
Health Careers Opportunity Program
LR-1a
1,2,6,7,8,16
D18
Health Careers Opportunity Program
LR-2
1,2,3,7,8,12,13,17,18
D18
Health Careers Opportunity Program
PC-2
1,2,3,4,5,6,7
D18
Health Careers Opportunity Program
1,2,3,4,5,8,9,10
D18
Health Careers Opportunity Program
PC-3
Training Program
Setup
1,2
25
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T99
Name
Form
Columns List
Medical Student Education Program
CDE-1
1,2,3,4,8,11,12
T99
Medical Student Education Program
CDE-2
1,2,3,4,5,7,8,9
T99
Medical Student Education Program
CE-1
1,2,3,4,5,6,8,9,10,11,12
T99
Medical Student Education Program
CE-2
1,2,3,4
T99
Medical Student Education Program
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,12,13,14
T99
Medical Student Education Program
EXP-2
1,2,3,4,5,6,7
T99
Medical Student Education Program
FD-1a
1,1a,2,3,4,5,6,7,8,9,10,11
T99
Medical Student Education Program
FD-1b
1,2,3
T99
Medical Student Education Program
FD-2a
1,2,3,4,5,6,7
T99
Medical Student Education Program
FD-2b
1,2,3
T99
Medical Student Education Program
FD-4a
1,1a,2,3,4,5
T99
Medical Student Education Program
FD-4b
T99
Medical Student Education Program
IND-GEN
T99
Medical Student Education Program
PC-1
1,2,3
1,2,2a,3,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27d,27e,28,29,31,32,
33,34,36,37,38,38e,38d,39,56,57,58,59,61
1,2,4,6,7,8,9,10,11,12,13
T99
Medical Student Education Program
T99
Medical Student Education Program
T99
Medical Student Education Program
PC-9
Training Program
Setup
Faculty
Development
Setup
1,2,5
1,2
n/a
26
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
UF1
UF1
UF1
UF1
UF1
UF1
UF1
UF1
UF1
UF1
UF1
UF1
UF1
Name
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Nursing Education, Practice, Quality and Retention
(NEPQR) - Veterans Bachelor of Science Nursing
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-1a
1,1a,2,3,4,5,6,7,8,9,10,11
FD-1b
1,2,3
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
IND-GEN
1,2,3,4,5,6a,7,8,9,10,11,12,13,21b,22,26,26b,27,27d,27e,27f,27b,28,31,
33,36,37,38,39,40,41,42,43,44
INDGEN-PY
1,2,3,4,5,6,6a,7,8,9,10,11,12,13,14,16,17,18
PC-1
1,2,3,4,6,7,8,9,10,11,12,13
Training Program
Setup
1,2
27
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
U2V
Name
Form
Columns List
NEPQR - Veteran Nurses in Primary Care
CDE-1
1,2,3,4,8,11,12,13
U2V
NEPQR - Veteran Nurses in Primary Care
CDE-2
1,2,3,4,5,7,8,9
U2V
NEPQR - Veteran Nurses in Primary Care
CE-1
1,2,3,4,5,6,8,9,10,11,12,16
U2V
NEPQR - Veteran Nurses in Primary Care
CE-2
1,2,3
U2V
NEPQR - Veteran Nurses in Primary Care
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
U2V
NEPQR - Veteran Nurses in Primary Care
1,2,3,4,5,6,7
U2V
NEPQR - Veteran Nurses in Primary Care
U2V
NEPQR - Veteran Nurses in Primary Care
EXP-2
Faculty
Development
Setup
FD-1a
U2V
NEPQR - Veteran Nurses in Primary Care
FD-1b
1,2,3
U2V
NEPQR - Veteran Nurses in Primary Care
FD-2a
1,2,3,4,5,6,7,8
U2V
NEPQR - Veteran Nurses in Primary Care
FD-2b
U2V
NEPQR - Veteran Nurses in Primary Care
INDGEN
U2V
NEPQR - Veteran Nurses in Primary Care
INDGEN-PY
1,2,3
1,2,3,3b,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27,27a,27d,27e,27f,28,
29,30,31,32,32a,33,34,34aa,34ab,34ac,34a,34b,36,36a,37,38,38b,39,45a
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,18
U2V
NEPQR - Veteran Nurses in Primary Care
PC-1
1,2,3,4,6,6d
U2V
NEPQR - Veteran Nurses in Primary Care
1,2,3,4,9,10
U2V
NEPQR - Veteran Nurses in Primary Care
PC-3
Training Program
Setup
n/a
1,1a,1b,2,3,4,5,6,7,8,9,10,11,12
1,2
28
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
D19
Name
Form
Columns List
Nursing Workforce Diversity
CDE-1
1,2,3,4,5,6,8,11,12
D19
Nursing Workforce Diversity
CDE-2
1,2,3,4,5,6,7,8,9
D19
Nursing Workforce Diversity
DV-1
1,2,2a,6a,7a,11a,12a,16a,18
D19
Nursing Workforce Diversity
DV-2
1,13,14,15,16,12
D19
Nursing Workforce Diversity
DV-3
1,8,9,7
D19
Nursing Workforce Diversity
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
D19
Nursing Workforce Diversity
1,2,3,4,5,6,7
D19
Nursing Workforce Diversity
D19
Nursing Workforce Diversity
EXP-2
Faculty
Development
Setup
Grant Purpose
Form
D19
Nursing Workforce Diversity
IND-GEN
D19
Nursing Workforce Diversity
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,13,15,21b,22,26,26b,27d,27e,28,29,31,32,33,
34,34a,34b,36,37,38,38b,39
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17
D19
Nursing Workforce Diversity
LR-1a
1,1a,6a,7,8,16
D19
Nursing Workforce Diversity
LR-2
1,2,2a,6a,7a,11a,12a,16a
D19
Nursing Workforce Diversity
PC-1
1,2,3,6,7,8,10,11,12,13
D19
Nursing Workforce Diversity
PC-2
1,2,3,4,5,6,7
D19
Nursing Workforce Diversity
1,2,3,4,5,7,8,9,10
D19
Nursing Workforce Diversity
PC-3
Training Program
Setup
n/a
See performance measures document, grant purpose section
1,2
29
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T26
Name
Form
Columns List
Opioid Impact Family Support Program
CDE-1
1,2,3,4,8,11,12
T26
Opioid Impact Family Support Program
CDE-2
1,2,3,4,5,7,8,9
T26
Opioid Impact Family Support Program
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
T26
Opioid Impact Family Support Program
1,2,3,4,5,6,7
T26
Opioid Impact Family Support Program
T26
Opioid Impact Family Support Program
EXP-2
Faculty
Development
Setup
Grant Purpose
Form
T26
Opioid Impact Family Support Program
IND-GEN
T26
Opioid Impact Family Support Program
INDGEN-PY
T26
Opioid Impact Family Support Program
T26
Opioid Impact Family Support Program
PC-1
Training Program
Setup
n/a
See performance measures document, grant purpose section
1,2,3,4,5,6a,7,8,9,10,11,12,13,13a,21b,22,26,26b,27,27d,27e,28,29,31,
32,33,34,34ac,36,36a,37,38,38b,38f,39,56,57,58,59,60,61
1,2,3,4,5,6,6a,7,8,9,10,11,12,13,14,16,17,18
1,2,3,4,6,7,8,9,10,11,12,13
1,2
30
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T97
T97
T97
T97
T97
T97
T97
T97
T97
T97
Name
Opioid Workforce Education Program (OWEP) Paraprofessionals
Opioid Workforce Education Program (OWEP) Paraprofessionals
Opioid Workforce Education Program (OWEP) Paraprofessionals
Opioid Workforce Education Program (OWEP) Paraprofessionals
Opioid Workforce Education Program (OWEP) Paraprofessionals
Opioid Workforce Education Program (OWEP) Paraprofessionals
Opioid Workforce Education Program (OWEP) Paraprofessionals
Opioid Workforce Education Program (OWEP) Paraprofessionals
Opioid Workforce Education Program (OWEP) Paraprofessionals
Opioid Workforce Education Program (OWEP) Paraprofessionals
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
Grant Purpose
Form
n/a
See performance measures document, grant purpose section
IND-GEN
1,2,3,4,5,6a,7,8,9,10,11,12,13,13a,21b,22,26,26b,27,27d,27e,28,29,31,
32,33,34,34ac,36,36a,37,38,38b,38f,39,56,57,58,59,60,61
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
PC-1
1,2,3,4,6,7,8,9,10,11,12,13
Training Program
Setup
1,2
31
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T98
T98
T98
T98
T98
T98
T98
T98
T98
T98
T98
T98
T98
T98
T98
Name
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Opioid Workforce Education Program (OWEP) Professionals
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
Grant Purpose
Form
See performance measures document, grant purpose section
IND-GEN
1,2,2a,3,4,5,6a,7,8,9,10,11,12,13,13a,21b,22,26,26b,27,27d,27e,28,29,
31,32,33,34,34ac,36,36a,37,38,39,56,57,58,59,60,61
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
PC-4
1,2,3,4,5,6,7,8,9,10
PC-6
1,2,3,4,5,6,7,8,9,10
PC-7
1,2,3,4,5,6,7,8,9,10
PC-8
1,2,3,5,6,7,8,9,10,11
Training Program
Setup
1,2
32
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
D88
D88
D88
D88
D88
D88
D88
D88
D88
D88
D88
D88
D88
D88
D88
D88
D88
D88
Name
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Post-doctoral Training in General, Pediatric, and
Public Health Dentistry
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
CE-1
1,2,3,4,5,6,8,9,10,11,12
CE-2
1,2,3,4
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-1a
1,1a,2,3,4,5,6,7,8,9,10,11
FD-1b
1,2,3
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
Grant Purpose
Form
See performance measures document, grant purpose section
IND-GEN
1,2,2a,3,4,5,6a,7,8,9,10,11,12,13,14,15,20,21b,22,26,26b,27,27d,27e,
27f,28,29,30,31,32,32a,33,34,34aa,36,37,38,39
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
PC-6
1,2,3,4,5,6,7,8,9,10
PC-8
1,2,3,4,5,6,7,8,9,10,11
PC-9
1,2,4,5,6
Training Program
Setup
1,2
33
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
D85
D85
D85
D85
D85
D85
D85
D85
D85
D85
D85
D85
D85
D85
D85
D85
D85
D85
Name
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Pre-doctoral Training in General, Pediatric, and
Public Health Dentistry and Dental Hygiene
Form
Columns List
CDE-1
2,3,4,8,11,12
CDE-2
3,4,5,7,8,9
DV-1
1,2,3,6,8,11
DV-2
1,2,3,8,9
DV-3
1,2,5
EXP-1
1,2,3,4,57,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-2a
2,3,4,5,6,7
FD-2b
3
Grant Purpose
Form
INDGEN
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,20,21b,22,26,26,26b,27,17d,27e,27f,
28,29,30,31,32,32a,33,34,34aa,36,37,38,39
INDGEN-PY
13,14,16,17,18
LR-1a
1,2,5,7,8
LR-2
1,2,3,6,8,11
PC-1
6,7,8,9,10,11,12,13
PC-9
5
Training Program
Setup
1,2
34
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
D33
Name
Form
Columns List
Preventive Medicine Residencies
CDE-1
1,2,3,4,8,11,12
D33
Preventive Medicine Residencies
CDE-2
1,2,3,4,5,7,8,9
D33
Preventive Medicine Residencies
DV-1
1,2,5,6a,10,11a,15,16a
D33
Preventive Medicine Residencies
DV-2
1,6,7,15,16
D33
Preventive Medicine Residencies
DV-3
1,4,9
D33
Preventive Medicine Residencies
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
D33
Preventive Medicine Residencies
1,2,3,4,5,6,7
D33
Preventive Medicine Residencies
D33
Preventive Medicine Residencies
EXP-2
Faculty
Development
Setup
FD-1a
D33
Preventive Medicine Residencies
FD-1b
1,2,3
D33
Preventive Medicine Residencies
FD-2a
1,2,3,4,5,6,7
D33
Preventive Medicine Residencies
1,2,3
D33
Preventive Medicine Residencies
FD-2b
Grant Purpose
Form
D33
Preventive Medicine Residencies
IND-GEN
D33
Preventive Medicine Residencies
INDGEN-PY
1,2,2a,3,4,5,6a,7,8,9,10,11,12,13,21b,22,26,26b,27,27d,27e,27f,28,29,
30,31,32,32a,33,34,34aa,34ab,36,37,39,56,57,58,59,60,61
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
D33
Preventive Medicine Residencies
LR-1a
1,4,6a,7,8
D33
Preventive Medicine Residencies
LR-2
1,2,5,6a,10,11a,15,16a
D33
Preventive Medicine Residencies
PC-8
1,2,4,5,6,7,8,9,10,11
D33
Preventive Medicine Residencies
1,2,3,5
D33
Preventive Medicine Residencies
PC-9
Training Program
Setup
n/a
1,1a,2,3,4,5,6,7,8,9,10,11
See performance measures document, grant purpose section
1,2
35
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
D57
D57
D57
D57
D57
D57
D57
D57
D57
D57
D57
D57
D57
D57
D57
D57
Name
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Primary Care Training and Enhancement (PCTE):
Physician Assistant Training Program
Form
Columns List
CDE-1
1,2,3,4,8,11,12
CDE-2
1,2,3,4,5,7,8,9
CE-1
1,2,3,4,5,6,8,9,10,11,12
CE-2
1,2,3,4
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
EXP-2
1,2,3,4,5,6,7
Faculty
Development
Setup
n/a
FD-1a
1,1a,2,3,4,5,6,7,8,9,10,11
FD-1b
1,2,3
FD-2a
1,2,3,4,5,6,7
FD-2b
1,2,3
IND-GEN
1,2,2a,3,4,5,6a,7,8,9,10,11,12,13,14,15,20,21b,22,26,26b,27d,27e,27f,
28,29,30,31,32,33,34,36,37,38,39
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
PC-1
1,2,4,6,7,8,9,10,11,12,13
PC-9
1,2,3,4,5
Training Program
Setup
1,2
36
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T0B
Name
Form
Columns List
Primary Care Training and Enhancement (PCTE)
CDE-1
1,2,3,4,8,11,12
T0B
Primary Care Training and Enhancement (PCTE)
CDE-2
1,2,3,4,5,7,8,9
T0B
Primary Care Training and Enhancement (PCTE)
CE-1
1,2,3,4,5,6,8,9,10,11,12
T0B
Primary Care Training and Enhancement (PCTE)
CE-2
1,2,3,4
T0B
Primary Care Training and Enhancement (PCTE)
DV-1
1,2,2a,6a,7a,11a,12a,16a,18
T0B
Primary Care Training and Enhancement (PCTE)
DV-2
1,13,14,15,16,12
T0B
Primary Care Training and Enhancement (PCTE)
DV-3
1,8,9,7
T0B
Primary Care Training and Enhancement (PCTE)
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,12,13,14
T0B
Primary Care Training and Enhancement (PCTE)
1,2,3,4,5,6,7
T0B
Primary Care Training and Enhancement (PCTE)
T0B
Primary Care Training and Enhancement (PCTE)
EXP-2
Faculty
Development
Setup
FD-1a
T0B
Primary Care Training and Enhancement (PCTE)
FD-1b
1,2,3
T0B
Primary Care Training and Enhancement (PCTE)
FD-2a
1,2,3,4,5,6,7
T0B
Primary Care Training and Enhancement (PCTE)
FD-2b
1,2,3
T0B
Primary Care Training and Enhancement (PCTE)
FD-4a
1,1a,2,3,4,5
T0B
Primary Care Training and Enhancement (PCTE)
1,2,3
T0B
Primary Care Training and Enhancement (PCTE)
FD-4b
Grant Purpose
Form
T0B
Primary Care Training and Enhancement (PCTE)
IND-GEN
T0B
Primary Care Training and Enhancement (PCTE)
INDGEN-PY
1,2,2a,3,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27,27d,27e,27f,28,29,
30,31,32,32a,33,34,34aa,36,37,38,39,44,45
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
T0B
Primary Care Training and Enhancement (PCTE)
LR-1a
1,1a,6a,7,8,16
T0B
Primary Care Training and Enhancement (PCTE)
LR-2
1,2,2a,6a,7a,11a,12a,16a,18
T0B
Primary Care Training and Enhancement (PCTE)
PC-1
1,2,3,4,6,6b,6c,7,8,9,10,11,12,13
T0B
Primary Care Training and Enhancement (PCTE)
PC-6
1,2,3,3a,3b,4,5,6,7,8,9,10
T0B
Primary Care Training and Enhancement (PCTE)
PC-8
1,4,4a,4b,5,6,7,8,9,10,11
T0B
Primary Care Training and Enhancement (PCTE)
1,2,3,5
T0B
Primary Care Training and Enhancement (PCTE)
PC-9
Training Program
Setup
n/a
1,1a,2,3,4,5,6,7,8,9,10,11
See performance measures document, grant purpose section
1,2
37
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
UB6
Name
Form
Columns List
Public Health Training Centers
CE-1
1,2,3,4,5,6,8,9,10,11,12,13,14
UB6
Public Health Training Centers
CE-2
1,2,3,4
UB6
Public Health Training Centers
EXP-1
1,2,3,4,5,6,7,7a,7b,8,9,10,11,13,14
UB6
Public Health Training Centers
1,2,3,4,5,6,7
UB6
Public Health Training Centers
UB6
Public Health Training Centers
EXP-2
Faculty
Development
Setup
FD-3
UB6
Public Health Training Centers
IND-GEN
UB6
Public Health Training Centers
INDGEN-PY
UB6
Public Health Training Centers
UB6
Public Health Training Centers
PC-7
Training Program
Setup
n/a
1,1a,2,3,4,5,6,7,8,9
1,2,3,4,5,6a,7,8,9,10,11,12,13,21b,22,26,26b,27,27d,27e,28,29,31,32,
33,34,35,36,37,39,56,57,59,58,60,61
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
1,2,3,4,5,6,7,8,9,10
1,2
38
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
UK1
Name
Form
Columns List
Registered Nurses in Primary Care
CDE-1
1,2,3,4,8,11,12,13
UK1
Registered Nurses in Primary Care
CDE-2
1,2,3,4,5,7,8,9
UK1
Registered Nurses in Primary Care
CE-1
1,2,3,4,5,6,8,9,10,11,12,16
UK1
Registered Nurses in Primary Care
CE-2
1,2,3
UK1
Registered Nurses in Primary Care
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
UK1
Registered Nurses in Primary Care
1,2,3,4,5,6,7
UK1
Registered Nurses in Primary Care
UK1
Registered Nurses in Primary Care
EXP-2
Faculty
Development
Setup
FD-1a
UK1
Registered Nurses in Primary Care
FD-1b
1,2,3
UK1
Registered Nurses in Primary Care
FD-2a
1,2,3,4,5,6,7,8
UK1
Registered Nurses in Primary Care
FD-2b
UK1
Registered Nurses in Primary Care
INDGEN
UK1
Registered Nurses in Primary Care
INDGEN-PY
1,2,3
1,2,3,3b,4,5,6a,7,8,9,10,11,12,20a,21b,22,26,26b,27,27a,27d,27e,27f,28,
29,30,31,32,32a,33,34,34aa,34ab,34ac,34ad,36,36a,37,38,38b,39,45a
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,18
UK1
Registered Nurses in Primary Care
PC-1
1,2,3,4,5,6,6d
UK1
Registered Nurses in Primary Care
PC-3
1,2,3,4,9,10
UK1
Registered Nurses in Primary Care
1,2,4
UK1
Registered Nurses in Primary Care
PC-8
Training Program
Setup
n/a
1,1a,1b,2,3,4,5,6,7,8,9,10,11,12
1,2
39
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
D58
Name
Form
Columns List
Residency Training in Primary Care
CDE-1
1,2,3,4,8,11,12
D58
Residency Training in Primary Care
CDE-2
1,2,3,4,5,7,8,9
D58
Residency Training in Primary Care
FD-1a
1,1a,5,6,7,8,9,10,11
D58
Residency Training in Primary Care
FD-1b
1,2,3
D58
Residency Training in Primary Care
FD-2a
1,2,3,4,5,6,7
D58
Residency Training in Primary Care
FD-2b
1,2,3
D58
Residency Training in Primary Care
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
D58
Residency Training in Primary Care
EXP-2
1,2,3,4,5,6,7
D58
Residency Training in Primary Care
Faculty
Development
Setup
n/a
D58
Residency Training in Primary Care
IND-GEN
1,2,2a,3,4,5,6a,7,8,9,10,11,12,13,13a,20a,21b,22,26,26a,26b,27,27d,27e,
28,29,31,32,33,34,34ab,36,37,39,56,57,58,59,60,61
D58
Residency Training in Primary Care
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,12,13,14,16,17,18
D58
Residency Training in Primary Care
PC-8
1,2,4,4a,5,6,7,8,9,10,11
D58
Residency Training in Primary Care
PC-9
1,2,3,4,5
D58
Residency Training in Primary Care
Training Program
Setup
1,2
40
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
Activity
Code
T12
Name
Form
Columns List
State Oral Health Workforce Program
CDE-1
1,2,3,4,8,11,12
T12
State Oral Health Workforce Program
CDE-2
1,2,3,4,5,7,8,9
T12
State Oral Health Workforce Program
CE-1
1,2,3,4,5,6,8,9,10,11,12
T12
State Oral Health Workforce Program
CE-2
1,2,3,4
T12
State Oral Health Workforce Program
DV-1
1,2,5,7,10,12
T12
State Oral Health Workforce Program
DV-2
1,6,7,10,11
T12
State Oral Health Workforce Program
DV-3
1,4,6
T12
State Oral Health Workforce Program
EXP-1
1,2,3,4,5,7,7a,7b,8,9,10,11,13,14
T12
State Oral Health Workforce Program
1,2,3,4,5,6,7
T12
State Oral Health Workforce Program
T12
State Oral Health Workforce Program
T12
State Oral Health Workforce Program
EXP-2
Faculty
Development
Setup
FD-5
Grant Purpose
Form
T12
State Oral Health Workforce Program
IND-GEN
T12
State Oral Health Workforce Program
INDGEN-PY
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21b,22,23,24,26,
26b,27,27d,27e,27f,28,29,30,31,32,32a,33,34,34aa,36,37,38,39,50,51,
52,53,54,55
1,2,3,4,5,6a,7,8,9,10,11,12,13,14,16,17,18
T12
State Oral Health Workforce Program
LR-1a
1,4,6,7,8
T12
State Oral Health Workforce Program
LR-2
1,2,5,7,10,12,15,17
T12
State Oral Health Workforce Program
PC-1
1,2,3,6,7,8,9,10,11,12,13
T12
State Oral Health Workforce Program
PC-6
1,2,3,4,5,6,7,8,9,10
T12
State Oral Health Workforce Program
PC-8
1,2,3,4,5,6,7,8,9,10,11
T12
State Oral Health Workforce Program
PC-9
1,2,4,5,6
T12
State Oral Health Workforce Program
RET
5,6,7
T12
State Oral Health Workforce Program
SOHWP-A
1,2,3,4,5
T12
State Oral Health Workforce Program
SOHWP-B
1,2,3,4,5,6,7
T12
State Oral Health Workforce Program
SOHWP-C
3,4,5
T12
State Oral Health Workforce Program
SOHWP-D
6,7,8,9,10,11,12
n/a
23a,23b,23c
See performance measures document, grant purpose section
41
Appendix C: Program Mapping Document
OMB No. 0915-0061, Exp. Date 03/31/2025
T12
State Oral Health Workforce Program
SOHWP-E
1,2,3,4,5
T12
State Oral Health Workforce Program
SOHWP-F
1,2,3,4,5,6,7,8,9,10,11,12,13,14
T12
State Oral Health Workforce Program
22
T12
State Oral Health Workforce Program
SOHWP-G
Training Program
Setup
1,2
42
| File Type | application/pdf |
| Author | Hays, Cameron (HRSA) |
| File Modified | 2021-11-19 |
| File Created | 2021-11-19 |