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.
Document Name |
---|
Form and Instruction |
Form and Instruction |
Supporting Statement A |
Approved without change |
Revision of a currently approved collection | 2023-11-29 | |
Approved without change |
Reinstatement without change of a previously approved collection | 2023-01-11 | |
Approved with change |
New collection (Request for a new OMB Control Number) | 2019-09-04 |
Federal Enterprise Architecture: Health - Health Care Services
Form 1 | CORRECTED PDF - FORM Evidence Based Telehealth Network Program Report | Fillable Fileable | Form |
Form 1 | Evidence Based Telehealth Network Program Report.pdf | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.