OMB control number
COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities
OMB 0906-0068 · HHS/HRSA.
HRSA disbursed the COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural payments to eligible health care providers to support health care-related expenses or lost revenues attributable to the COVID-19 pandemic. Recipients of PRF and ARP Rural payments agreed to a set of Terms and Conditions (T&C), which, among other requirements, mandate compliance with certain reporting requirements that facilitate appropriate oversight of recipients’ use of funds. Providers who have attested to the T&Cs regarding their PRF and ARP Rural payment(s), including the requirement that the provider "shall submit reports as the Secretary determines are needed to ensure compliance with conditions that are imposed on this Payment, and such reports shall be in such form, with such content, as specified by the Secretary in future program instructions directed to all recipients," will use the HRSA Consolidated PRF Reporting Portal to submit information about their use of PRF and ARP Rural payments. While the standard reporting time periods have ended, there are still scenarios in which providers will be required to submit reporting documents to HRSA
The latest form for COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities expires 2029-04-30 and can be found here.
Document Name |
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Form |
Form |
Supplementary Document |
Public Comments |
Supporting Statement A |
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Approved without change |
Revision of a currently approved collection | 2026-01-08 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2023-05-11 | |
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Approved with change |
Revision of a currently approved collection | 2022-11-04 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 2021-12-07 |