COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities

ICR 202210-0906-003

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0068 can be found here:

Forms and Documents

Document Name	Status
Form 1 COVID-19 Provider Relief Fund (PRF) Reporting Activities Form	Modified
PRF Reporting Activities - Supporting Statement FINAL.docx Supporting Statement A	2022-10-31
PRF Reporting Activities - 5 Provider Post-Payment-Notice of Reporting Requirements - October 2022.pdf Supplementary Document	2022-10-27
PRF Reporting Activities - 2 Burden Hour Justification Formula.docx Supplementary Document	2022-10-27

IC Document Collections

IC ID	Document Title	Status
250697	COVID-19 Provider Relief Fund (PRF) Reporting Activities Form	Modified

ICR Details