OMB control number
Application for Deemed Health Center Program Award Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment
OMB 0906-0032 · HHS/HRSA.
OMB 0906-0032
Deemed status for FTCA medical malpractice coverage requires HRSA approval of an application for deeming of certain eligible individuals from a sponsoring health center. The FTCA Program Deeming Application for Health Center Volunteer Health Professionals is an electronic application submitted to HRSA through the Electronic Handbooks as part of the process of deeming qualified volunteers of health centers.
The latest form for Application for Deemed Health Center Program Award Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment expires 2023-12-31 and is listed under ICR 202010-0906-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 T FTCA Health Center Volunteer Health Professional Program Application | Form and Instruction |
| 0032 Non Substantive Change Memo - OMB PPR 2020_HRSA BPHC 3.31.21 FINAL.docx | Justification for No Material/Nonsubstantive Change |
| Supporting Statement A 0032 FTCA VHP.docx | Supporting Statement A |
 FTCA Health Center Volunteer Health Professional Program Application |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202104-0906-003 | No material or nonsubstantive change to a currently approved collection | 2021-04-06 | Approved without change | |
| 202010-0906-002 | Revision of a currently approved collection | 2020-10-06 | Approved without change | |
| 201711-0906-003 | No material or nonsubstantive change to a currently approved collection | 2017-11-29 | Approved without change | |
| 201708-0906-001 | New collection (Request for a new OMB Control Number) | 2017-08-24 | Approved without change |