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

IC 211181 under ICR 202506-0915-002 · OMB 0915-0384.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
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Rural Health Network Development Planning Program Performance Improvement and Measurement System (PIMS) Form
 
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 Network Planning PIMS Document Network Planning PIMS Document.docx Yes Yes Fillable Fileable
Form and Instruction 1_redline FORHP 0915-0384 Network Planning Program Measures (proposed revisions June 4 2025) FORHP 0915-0384 Network Planning Program Measures (proposed revisions June 4 2025).docx Yes Yes Fillable Fileable

Health Health Care Services

 

23 23
   
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 23 0 0 0 0 23
Annual IC Time Burden (Hours) 23 0 0 0 0 23
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement FINAL - Revised Supporting Statement A Document Network Planning 03082023.docx 03/08/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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