Rural Health Clinic COVID-19 (RHC COVID-19)Testing Program Data Collection

OMB 0906-0056

OMB 0906-0056

HRSA Federal Office of Rural Health Policy (FORHP) has requested approval to create a new monthly, aggregate data report to collect information on COVID-19 testing conducted by Rural Health Clinic (RHC) organizations. Respondents are RHC organizations who received funding for COVID-19 testing and related expenses. HRSA issued funding as one-time payments to 2,406 RHC organizations based on the number of certified clinic sites they operate, providing $49,461.42 per clinic site (4,549 RHC clinic sites total across the country). The organizations were identified by Tax ID number and an organization may operate one or more RHC sites which were identified by unique CMS Certification Numbers (CCN). Data report information is needed to comply with federal requirements to monitor funds distributed under The Paycheck Protection Program and Health Care Enhancement Act.

The latest form for Rural Health Clinic COVID-19 (RHC COVID-19)Testing Program Data Collection expires 2021-04-30 and can be found here.


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