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Applications for Deemed Public Health Service Employment with Liability Protections Under the FTCA for Health Centers, Deemed Health Center Volunteers, and Free Clinic Sponsored Individuals
OMB 0906-0090
OMB.report
HHS/HRSA
OMB 0906-0090
OMB 0906-0090
Latest Forms, Documents, and Supporting Material
Document
Name
Form 3 Emergency Deeming Sponsorship Application
Form and Instruction
Form 2 Application for Deemed Health Center Program Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment with Liability Protections Under the FTCA
Form and Instruction
Form 1 Application for Health Center Program Recipients for Deemed PHS Employment with Liability Protections Under the FTCA
Form and Instruction
Form 4 Application for Free Clinics to Sponsor Individuals for Deemed PHS Employment with Liability Protections Under the FTCA
Form and Instruction
FINAL PAL 2024-02 VHP Emergency Deeming Sponsorship Application.docx
Supplementary Document
Supporting Statement A- BPHC- Combined Package- 0906-New-4.15.24.docx
Supporting Statement A
Emergency Deeming Sponsorship Application
Form and Instruction
Application for Deemed Health Center Program Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment with Liability Protections Under the FTCA
Form and Instruction
Application for Health Center Program Recipients for Deemed PHS Employment with Liability Protections Under the FTCA
Form and Instruction
Application for Free Clinics to Sponsor Individuals for Deemed PHS Employment with Liability Protections Under the FTCA
Form and Instruction
All Historical Document Collections
202404-0906-001
Approved with change
New collection (Request for a new OMB Control Number)
2024-04-18
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