OMB control number
Rural Public Health Workforce Training Network Program (RPHWTN)
OMB 0915-0392 · HHS/HSA.
The Rural Public Health Workforce Training Network (RPHWTN) Program Data Collection is authorized by Section 330A(f) of the Public Health Service Act (42 U.S.C. 254c(f)). Furthermore, section 2501 of the American Rescue Plan Act of 2021 (ARP, Pub. L. 117–2) provides funding for the Department of Health and Human Services to carry out activities related to expanding and sustaining a public health workforce, including to respond to COVID-19. The RPHWTN program, which is managed by the Federal Office of Rural Health Policy at HRSA, intends to expand public health capacity by supporting health care job development, training, and placement in rural communities. This grant program intends to address the ongoing critical need for trained public health professionals in health care facilities serving rural communities by establishing networks that will develop formal training/certification programs. The long-term objective of this program is to enhance clinical and operational capacity to adequately address population health needs of rural communities negatively impacted by COVID-19, including long COVID-19. The HRSA Office of Planning, Analysis, and Evaluation will work with the Federal Office of Rural Health Policy to design and distribute surveys to RPHWTN grantees and trainees, which will serve as program data collection tools. Grantees will establish networks that support health care job development, training, and placement in rural communities. Trainees are individuals participating in the training programs made possible through the RPHTWN-supported networks established by program grantees. To accomplish RPHWTN program goals, HRSA would like to collect the following type of information from respondents: • From grantees: training content, count of trainings and attendees, specific strategies in supporting patients with long COVID-19 and behavioral health needs, and trainee retention/ completion. • From trainees: limited demographic information (age, ZIP code, race, and ethnicity), skills needed to fulfill roles in specific tracks selected, skill assessment, professional and/or educational experience, and career goals/intentions.
The latest form for Rural Public Health Workforce Training Network Program (RPHWTN) expires 2026-08-31 and can be found here.
Document Name |
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Form |
Form |
Form |
Form |
Form |
Form |
Form |
Form |
Justification for No Material/Nonsubstantive Change |
Justification for No Material/Nonsubstantive Change |
Supporting Statement A |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
| No material or nonsubstantive change to a currently approved collection | 2025-05-14 | ||
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Approved with change |
New collection (Request for a new OMB Control Number) | 2023-05-30 |
Grantee Baseline Survey
Federal Enterprise Architecture: Health - Health Care Services
| Form 1 | Grantee Baseline Survey | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.