Information Collection Request
COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities
ICR 202210-0906-003 · OMB 0906-0068 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0068 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1 COVID-19 Provider Relief Fund (PRF) Reporting Activities |
Form | Modified | Repair queued |
 PRF Reporting Activities - Supporting Statement FINAL.docx |
Supporting Statement A | Uploaded 2022-10-31 | Repair queued |
 PRF Reporting Activities - 5 Provider Post-Payment-Notice of Reporting Requirements - October 2022.pdf |
Supplementary Document | Uploaded 2022-10-27 | Repair queued |
| PRF Reporting Activities - 2 Burden Hour Justification Formula.docx |
Supplementary Document | Uploaded 2022-10-27 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 250697 |  COVID-19 Provider Relief Fund (PRF) Reporting Activities |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/HRSA |
| OMB Control No | 0906-0068 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202112-0906-001 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |