PRF and ARP-R Application Portal

COVID–19 Provider Relief Programs Application and Attestation Portal, and Claims Reimbursement Submission Activities

OMB: 0906-0069

IC ID: 251210

Information Collection (IC) Details

View Information Collection (IC)

PRF and ARP-R Application Portal
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2 PRF and ARP-R Attestation and Application Screenshots.pptx PRF and ARP-R Attestation and Application Screenshots.pptx Yes Yes Fillable Fileable

Health Illness Prevention

 

140,000 10,000
   
Private Sector Not-for-profit institutions
 
   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 140,000 0 140,000 0 0 0
Annual IC Time Burden (Hours) 140,000 0 140,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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