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Federal forms, ICRs, and supporting documents

Information Collection

Rural Health Network Development Performance Improvement and Measurement System (PIMS)

IC 215502 under ICR 202506-0906-002 · OMB 0906-0010.

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

View Information Collection (IC)

Rural Health Network Development Performance Improvement and Measurement System (PIMS)
 
No Modified
 
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 1 RHND PIMS RHND PIMS_Draft Changes_Clean_july 2023.docx Yes Yes Fillable Fileable
Form and Instruction 1_R FORHP 0906-0010 Rural Health Network Development Measures (proposed revisions June 4 2025) FORHP 0906-0010 Rural Health Network Development Measures (proposed revisions June 4 2025).pdf Yes Yes Fillable Fileable

Health Health Care Services

 

44 44
   
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 44 0 0 0 0 44
Annual IC Time Burden (Hours) 2,147 0 0 0 0 2,147
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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