Information Collection Request
BHW Performance Report for Grants and Cooperative Agreements
ICR 202403-0906-004 · OMB 0906-0086 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0086 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1 BHW Performance Measures Forms |
Form and Instruction | Modified | Available |
 Karsten_Response_3 (03082024).pdf |
Supplementary Document | Uploaded 2024-03-08 | Available |
 0915-0061 - BHW Performance Collection Supporting Statement A 03082024.docx |
Supporting Statement A | Uploaded 2024-03-08 | Available |
| Karsten_public comment follow-up response.pdf |
Supplementary Document | Uploaded 2024-01-09 | Available |
| Signed_Final Response_Karsten - OAA Signature.v2.pdf |
Supplementary Document | Uploaded 2024-01-09 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 206385 |  BHW Performance Measures Forms |
Form and Instruction | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/HRSA |
| OMB Control No | 0906-0086 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202112-0915-001 |
| Agency Tracking No | 19184 |
| Date Submitted to OIRA | 2024-03-08 |
| Requested Expiration Date | 1969-12-31 |