COVID–19 Provider Relief Programs Single and Commercial Audits and Delinquent Audit Reporting Submission Activities

ICR 202312-0906-003

OMB: 0906-0083

Federal Form Document

Forms and Documents

Document Name	Status
Form 3 Provider Relief Fund (PRF) Questioned Cost Attestation Form Form and Instruction	New
Form 2 Delinquent Audit Follow-up Email and Attestation Form and Instruction	New
Form 1 PRF Commercial Audit Form Form and Instruction	New
DFI CARD PRA Supporting Statement A_V2.docx Supporting Statement A	2023-12-28

IC Document Collections

IC ID	Document Title	Status
264092	Provider Relief Fund (PRF) Questioned Cost Attestation Form Form and Instruction	New
264091	Delinquent Audit Follow-up Email and Attestation Form and Instruction	New
264090	Delinquent Audit Follow-up General Email Blast Instruction	New
264089	Commercial Audit Compliance Email Instruction	New
264088	PRF Commercial Audit Form Form and Instruction	New