Evidence Based Telehealth Network Program Measures

OMB 0906-0043

OMB 0906-0043

The purpose of these programs are to provide grants that demonstrate how telehealth programs and networks can improve access to quality health care services in rural and frontier communities. The measures will enable FORHP to capture awardee-level data that illustrates the impact and scope of federal funding along with evaluating these efforts. The respondents would be award recipients of the Evidence Based Telehealth Network Program.

The latest form for Evidence Based Telehealth Network Program Measures expires 2022-11-30 and can be found here.

OMB Details

Evidence Based Telehealth Network Program Report

Federal Enterprise Architecture: Health - Health Care Services

Form 1CORRECTED PDF - FORM Evidence Based Telehealth Network Program ReportFillable FileableForm
Form 1Evidence Based Telehealth Network Program Report.pdf Fillable FileableForm

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