Application for Deemed Health Center Program Award Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment

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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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All Historical Document Collections

202104-0906-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-04-06
202010-0906-002 Approved without change	Revision of a currently approved collection	2020-10-06
201711-0906-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-11-29
201708-0906-001 Approved without change	New collection (Request for a new OMB Control Number)	2017-08-24