Information Collection Request

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

ICR 202305-0906-001 · OMB 0906-0068 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 1 COVID-19 Provider Relief Fund (PRF) Reporting Activities Form Unchanged Available
Form 1 COVID-19 Provider Relief Fund (PRF) Reporting Activities Form Unchanged Missing upstream
04072023 Post-Payment Notice of Reporting Requirements 2023.docx Supplementary Document Uploaded 2023-05-11 Available
04072023 Post-Payment Notice of Reporting Requirements 2023.docx Supplementary Document Uploaded 2023-05-11 Missing upstream
PRB 0906-0068 NonSubstantive Cange Memo Final.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-05-11 Available
PRB 0906-0068 NonSubstantive Cange Memo Final.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-05-11 Repair queued
PRF Reporting Activities Enhancements.pdf Supplementary Document Uploaded 2023-01-23 Repair queued
PRF Reporting Activities Enhancements.pdf Supplementary Document Uploaded 2023-01-23 Repair queued
PRF Reporting Activities - 7 Public Comments Remediations.xlsx Supplementary Document Uploaded 2023-01-23 Repair queued
PRF Reporting Activities - 7 Public Comments Remediations.xlsx Supplementary Document Uploaded 2023-01-23 Repair queued
PRF Reporting Activities - 7 Public Comments Remediations.pdf Supplementary Document Uploaded 2023-01-19 Repair queued
PRF Reporting Activities - 7 Public Comments Remediations.pdf Supplementary Document Uploaded 2023-01-19 Repair queued
PRF Reporting Activities - Supporting Statement FINAL.docx Supporting Statement A Uploaded 2022-10-31 Available
PRF Reporting Activities - Supporting Statement FINAL.docx Supporting Statement A Uploaded 2022-10-31 Missing upstream
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 - 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 Available
PRF Reporting Activities - 2 Burden Hour Justification Formula.docx Supplementary Document Uploaded 2022-10-27 Missing upstream
IC Document Collections
ICR Details
StatusActive
Agency/SubagencyHHS/HRSA
OMB Control No0906-0068
Type of Information CollectionNo material or nonsubstantive change to a currently approved collection
Previous ICR Reference No202210-0906-003
Date Submitted to OIRA2023-05-11
Requested Expiration Date1969-12-31