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Federal forms, ICRs, and supporting documents

Information Collection

Application for Deemed Health Center Program Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment with Liability Protections Under the FTCA

IC 266941 under ICR 202512-0906-001 · OMB 0906-0090.

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

View Information Collection (IC)

Application for Deemed Health Center Program Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment with Liability Protections Under the FTCA
 
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 2 Application for Deemed Health Center Program Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment with Liability Protections Under the FTCA Clean_ FTCA Application for Deemed Health Center Program Recipients to Sponsor VHPs Tool 0906-0090.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,156 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 3,468 0 0 0 0 3,468
Annual IC Time Burden (Hours) 6,936 0 0 0 0 6,936
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Redline_ FTCA Application for Deemed Health Center Program Recipients to Sponsor VHPs Tool 0906-0090 Redline_ FTCA Application for Deemed Health Center Program Recipients to Sponsor VHPs Tool 0906-0090.pdf 12/10/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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