OMB control number
Section 3012 Health Information Technology Extension Program: Full Application
OMB 0990-0343 · HHS/HHSDM.
OMB 0990-0343
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 Full Application Required Data Elements | Form and Instruction |
| 3012 PRA Full 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All Historical Document Collections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 |
|---|---|---|---|---|
| 200908-0990-006 | New collection (Request for a new OMB Control Number) | 2009-08-26 | Approved without change |