FORM - HRSA FORHP COVID-19 Data Report 9.2021 TRACK

OMB No.: 0906-0056

Expires: 04/30/2024

Rural Health Clinic COVID-19 Reporting Portal

Public Burden Statement: The purpose of this data collection system is to collect aggregate data on the number of Rural Health Clinic (RHC) organizations, number of COVID-19 tests conducted, and the types of allowable RHC services provided with RHC COVID-19 Testing funding. FORHP will use these data to show how RHC COVID-19 Testing funding is used. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this information collection is 0906-0056 and it is valid until 04/30/2024. This information collection is required to obtain or retain a benefit (FY 2020 Paycheck Protection Program and Health Care Enhancement Act- P.L. 116-139; FY 2021 American Rescue Plan Act- P.L. 117-2). Public reporting burden for this collection of information is estimated to average0.33 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or paperwork@hrsa.gov.

URLs
RHCCovidReporting.com
RHCCovidReporting.org
Title of Webpage
Rural Health Clinic COVID-19 Reporting Portal
Page 1 - Splash Page (Introduction + Public Burden Statement + Eligibility + Privacy Statement)
Welcome to the Rural Health Clinic COVID-19 Reporting Portal
This portal is the official reporting website for the Rural Health Clinic COVID-19 Testing and Mitigation HYPERLINK "https://www.hrsa.gov/coronavirus/rural-health-clinics/testing"  HYPERLINK "https://www.hrsa.gov/coronavirus/rural-health-clinics/testing"  (RHCCT) Program (allocated May 2020). You are required by the Rural Health Clinic COVID-19 Testing Program Terms and Conditions and the Rural Health Clinic COVID-19 Testing and Mitigation Program Terms and Conditions to report required data on this website if your organization received funding. If you do not know if your organization received funding please visit our  below to login/register:CONTINUE HYPERLINK "https://www.rhccovidreporting.com/are-you-registered/" FAQ HYPERLINK "https://www.rhccovidreporting.com/faq/" 
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Rural Health Clinic COVID-19 Testing and Mitigation (RHCCTM) Program HYPERLINK "https://www.hrsa.gov/coronavirus/rural-health-clinics/testing" 
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here HYPERLINK "https://oig.hhs.gov/coronavirus/authorities-faq.asp" 
 HYPERLINK "https://www.hrsa.gov/sites/default/files/hrsa/ruralhealth/rhc-testing-mitigation-terms-conditions.pdf" and the RHC COVID-19 Testing Program HYPERLINK "https://www.hhs.gov/sites/default/files/terms-and-conditions-rural-testing-relief-fund.pdf" 
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https://www.hrsa.gov/coronavirus/rural-health-clinics/testing/important-dates
 HYPERLINK "https://www.hrsa.gov/rural-health/coronavirus"
National Association of Rural Health Clinics: https://www.narhc.org
Rural Health Clinic COVID-19 Testing and Mitigation Program Terms and Conditions: https://www.hrsa.gov/sites/default/files/hrsa/ruralhealth/rhc-testing-mitigation-terms-conditions.pdf
Rural Testing Relief Fund Terms and Conditions: https://www.hhs.gov/sites/default/files/terms-and-conditions-rural-testing-relief-fund.pdf
Copyright ©2020 All Rights Reserved OMB Number (0906-0056) Expires 04/30/2024

Acronym List:
CCN	Centers for Medicare & Medicaid Services Certification Number
PTAN	Provider Transaction Access Number
RHC	Rural Health Clinic
RHC CTR	Rural Health Clinic COVID-19 Testing Report
TIN	Tax Identification Number



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