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 is listed under ICR 201810-0906-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201810-0906-004 | Extension without change of a currently approved collection | 2018-10-25 | Approved without change | |
| 201805-0906-001 | New collection (Request for a new OMB Control Number) | 2018-05-08 | Approved with change |