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 is listed under ICR 202402-0906-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202402-0906-002 | Revision of a currently approved collection | 2024-02-15 | Approved without change | |
| 202012-0906-002 | New collection (Request for a new OMB Control Number) | 2020-12-29 | Approved without change |