OMB control number
Section 3013 State Health Information Exchange Cooperative Agreement Program: Full Application
OMB 0990-0342 · HHS/HHSDM.
OMB 0990-0342
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 Full Application Required Data Elements | Form and Instruction |
| 0990-0342 FOA_State Health Information Exchange Cooperative Agreement Program_Sept3proposedchanges (2).doc | Supplementary Document |
| 0990-0342 Justification_FOArevisioon090409.doc | Justification for No Material/Nonsubstantive Change |
| PRA Review for Emergency Request for 3013 Application 8.26.2009.doc | Supporting Statement A |
 Full Application Required Data Elements |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200909-0990-001 | No material or nonsubstantive change to a currently approved collection | 2009-09-04 | Approved without change | |
| 200908-0990-007 | New collection (Request for a new OMB Control Number) | 2009-08-26 | Approved without change |