COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural Payment Reporting Activities

ICR 202305-0906-001

OMB: 0906-0068

Federal Form Document

Forms and Documents

Document Name	Status
Form 1 COVID-19 Provider Relief Fund (PRF) Reporting Activities Form	Unchanged
Form 1 COVID-19 Provider Relief Fund (PRF) Reporting Activities Form	Unchanged
04072023 Post-Payment Notice of Reporting Requirements 2023.docx Supplementary Document	2023-05-11
04072023 Post-Payment Notice of Reporting Requirements 2023.docx Supplementary Document	2023-05-11
PRB 0906-0068 NonSubstantive Cange Memo Final.docx Justification for No Material/Nonsubstantive Change	2023-05-11
PRB 0906-0068 NonSubstantive Cange Memo Final.docx Justification for No Material/Nonsubstantive Change	2023-05-11
PRF Reporting Activities Enhancements.pdf Supplementary Document	2023-01-23
PRF Reporting Activities Enhancements.pdf Supplementary Document	2023-01-23
PRF Reporting Activities - 7 Public Comments Remediations.xlsx Supplementary Document	2023-01-23
PRF Reporting Activities - 7 Public Comments Remediations.xlsx Supplementary Document	2023-01-23
PRF Reporting Activities - 7 Public Comments Remediations.pdf Supplementary Document	2023-01-19
PRF Reporting Activities - 7 Public Comments Remediations.pdf Supplementary Document	2023-01-19
PRF Reporting Activities - Supporting Statement FINAL.docx Supporting Statement A	2022-10-31
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 - 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
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	Unchanged
250697	COVID-19 Provider Relief Fund (PRF) Reporting Activities Form	Unchanged