Small Rural Hospital Improvement Program COVID-19 Testing and Mitigation Reporting Portal

Small Rural Hospital Improvement Program (SHIP) COVID-19 Testing and Mitigation Reporting Portal

OMB: 0906-0066

IC ID: 249666

Information Collection (IC) Details

View Information Collection (IC)

Small Rural Hospital Improvement Program COVID-19 Testing and Mitigation Reporting Portal
 
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 0906-0066 HRSA FORHP COVID-19 Data Report 6. FORM - HRSA FORHP COVID-19 Data Report.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,540 1,540
   
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 9,240 0 0 0 9,240 0
Annual IC Time Burden (Hours) 2,310 0 0 0 2,310 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A - SHIP COVID Testing Mitigation Program 5. Supporting Statement A - SHIP COVID Testing Mitigation Program 03.02.2022.docx 05/03/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2022 OMB.report | Privacy Policy