OMB control number

Delta States Rural Development Network Program Measures

OMB 0915-0386 · HHS/HSA.

OMB 0915-0386

The Delta States Rural Development Network Grant (Delta) Program supports projects that demonstrate evidence based and/or promising approaches around cardiovascular disease, diabetes, acute ischemic stroke, or obesity in order to improve health status in rural communities throughout the Delta Region. HRSA collects information from Delta Program award recipients using an OMB-approved set of performance measures to provide HRSA with information on how well each grantee is improving access to quality health care services in rural communities. The respondents of this data collection will be limited to Delta States Rural Development Network Program grantees.

The latest form for Delta States Rural Development Network Program Measures expires 2026-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - State Local Tribal Form and Instruction
Form 1 Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - Private Sector Form and Instruction
Supporting Statement A_Delta 04282023 5.2.docx Supporting Statement A
Attachment A_Delta Program Legislation.pdf.pdf (document unavailable) Supplementary Document
Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - State Local Tribal Form and Instruction
Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - Private Sector Form and Instruction

All Historical Document Collections

202305-0915-003 Approved without change	Revision of a currently approved collection	2023-05-12
202005-0915-004 Approved without change	Extension without change of a currently approved collection	2020-06-01
201706-0915-006 Approved without change	Revision of a currently approved collection	2017-07-07
201405-0915-002 Approved without change	New collection (Request for a new OMB Control Number)	2014-05-29

OMB Details

Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - Private Sector

Federal Enterprise Architecture: Health - Health Care Services

Form 1

Performance Improvement Measurement System (PIMS)

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.