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 | Type |
|---|---|
 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) |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201501-0990-001 | Reinstatement without change of a previously approved collection | 2015-01-26 | Approved without change | |
| 201107-0990-001 | Reinstatement without change of a previously approved collection | 2011-07-05 | Approved without change | |
| 200711-0990-001 | New collection (Request for a new OMB Control Number) | 2007-11-19 | Approved without change |