OMB control number

DATA 2000 Waiver Training Payment Program Application for Payment

OMB 0906-0061 · HHS/HRSA.

OMB 0906-0061

This form allows Rural Health Clinics (RHCs) to apply for payments based on the average cost of training to obtain DATA 2000 waivers for their physicians and practitioners to furnish opioid use disorder treatment services. The form also provides HRSA with the requisite data to validate qualifying DATA 2000 waiver possessions for the purpose of ensuring accurate payments to RHCs.

The latest form for DATA 2000 Waiver Training Payment Program Application for Payment expires 2027-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 DATA 2000 Waiver Training Payment Program Application for Payment Form and Instruction
DraftLPRA_SUPPORT_Supporting Statement A_Feb 2024_final 02082024.docx Supporting Statement A
DATA 2000 Waiver Training Payment Program Application for Payment Form and Instruction

All Historical Document Collections

202402-0906-002 Approved without change	Revision of a currently approved collection	2024-02-15
202012-0906-002 Approved without change	New collection (Request for a new OMB Control Number)	2020-12-29