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COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities
ICR 202210-0906-003
OMB: 0906-0068
Federal Form Document
OMB.report
HHS/HRSA
OMB 0906-0068
ICR 202210-0906-003
( )
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0068 can be found here:
2023-05-11 - No material or nonsubstantive change to a currently approved collection
Forms and Documents
Document
Name
Status
Form 1 COVID-19 Provider Relief Fund (PRF) Reporting Activities
Form
Modified
PRF Reporting Activities - Supporting Statement FINAL.docx
Supporting Statement A
2022-10-31
PRF Reporting Activities - 5 Provider Post-Payment-Notice of Reporting Requirements - October 2022.pdf
Supplementary Document
2022-10-27
PRF Reporting Activities - 2 Burden Hour Justification Formula.docx
Supplementary Document
2022-10-27
IC Document Collections
IC ID
Document
Title
Status
250697
COVID-19 Provider Relief Fund (PRF) Reporting Activities
Form
Modified
ICR Details
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