OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Safe Harbor for Federally Qualified Health Centers Arrangements

OMB 0990-0322 · HHS/HHSDM.

OMB 0990-0322

Latest Forms, Documents, and Supporting Material

Document Name
0990-0322 safeharborforfederally 01_2015.docx Supporting Statement A
0990-0322_Attachment E.pdf Supplementary Document
0990-0322_Attachment D.pdf Supplementary Document
0990-0322_Attachment C.pdf Supplementary Document
0990-0322_Attachment B.pdf Supplementary Document
0990-0322_Attachment A.pdf Supplementary Document
Health Center (administrative professional)

All Historical Document Collections

201501-0990-001 Approved without change	Reinstatement without change of a previously approved collection	2015-01-26
201107-0990-001 Approved without change	Reinstatement without change of a previously approved collection	2011-07-05
200711-0990-001 Approved without change	New collection (Request for a new OMB Control Number)	2007-11-19