FY 2020 Ending the HIV Epidemic - Primary Care HIV Prevention (PHCP) Progress Reporting

The Health Center Program Application Forms

OMB: 0915-0285

IC ID: 207854

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

FY 2020 Ending the HIV Epidemic - Primary Care HIV Prevention (PHCP) Progress Reporting
 
No Unchanged
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 29 FY2020 Ending the HIV Epidemic Primary Care HIV Prevention PCHP Progress Reporting.docx FY2020 Ending the HIV Epidemic Primary Care HIV Prevention PCHP Progress Reporting.docx Yes Yes Fillable Fileable
Form and Instruction 29 Progress Report PCHP Mark Up_add new report 10.30.20.docx Progress Report PCHP Mark Up_add new report 10.30.20.docx Yes Yes Fillable Fileable

Health Health Care Services

 

182 0
   
Private Sector Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 182 0 0 0 0 182
Annual IC Time Burden (Hours) 182 0 0 0 0 182
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Change Memo - OMB PPR 2020_HRSA BPHC 11-24-2020 Change Memo - OMB PPR 2020_HRSA BPHC 11-24-2020.docx 11/30/2020
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