Form 1 Data Form Elements
COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities
PRF Reporting Activities - 4 Data Form Elements.xlsx
COVID-19 Provider Relief Fund (PRF) Reporting Activities
OMB: 0906-0068
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0906-0068 can be found here: