OMB control number

Rural Health Opioid Program Grant Performance Measures

OMB 0906-0037 · HHS/HRSA.

OMB 0906-0037

The purpose of this data collection is to provide HRSA with information regarding the performance of each Rural Health Opioid Program grant recipient as well as the overall success of the pilot program. The respondents of this data collection will be limited to Rural Health Opioid Program grant recipients.

The latest form for Rural Health Opioid Program Grant Performance Measures expires 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Rural Health Opioid Program Form
30-day FRN.pdf Supplementary Document
60-day FRN 0906-New RH Opioid.pdf Supplementary Document
RHOP PIMS Supporting Statement A FINAL CLEAN 7.19.18.docx Supporting Statement A
Rural Health Opioid Program Form

All Historical Document Collections

201810-0906-004 Approved without change	Extension without change of a currently approved collection	2018-10-25
201805-0906-001 Approved with change	New collection (Request for a new OMB Control Number)	2018-05-08