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 2029-07-31 and is listed under ICR 202606-0915-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 1 Performance Improvement Measurement System (PIMS) - Delta States	Form and Instruction
Form 1 Performance Improvement Measurement System (PIMS) - Delta States	Form and Instruction
Form 1 Performance Improvement Measurement System (PIMS) - Delta States	Form and Instruction
Form 1 Performance Improvement Measurement System (PIMS) - Delta States	Form and Instruction
Supporting Statement A 0915-0386 - FORHP - Delta States - Revision - 07172026.docx	Supporting Statement A
Attachment A_Delta Program Legislation.pdf.pdf	Supplementary Document
Attachment A_Delta Program Legislation.pdf.pdf	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 - State Local Tribal	Form and Instruction
Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - Private Sector	Form and Instruction
Delta States Rural Network Development Grant Program Performance Improvement Measurement System Measures - Private Sector	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202606-0915-001	Revision of a currently approved collection	2026-06-12
202305-0915-003	Revision of a currently approved collection	2023-05-12	Approved without change
202005-0915-004	Extension without change of a currently approved collection	2020-06-01	Approved without change
201706-0915-006	Revision of a currently approved collection	2017-07-07	Approved without change
201405-0915-002	New collection (Request for a new OMB Control Number)	2014-05-29	Approved without change

OMB Details

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

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
Form	Name	Electronic access	Type
Form 1	Performance Improvement Measurement System (PIMS) - Delta States	Fillable Fileable	Form and instruction

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