Health Center COVID-19 Vaccine Program

OMB 0906-0062

Latest Forms, Documents, and Supporting Material

Document Name
Form 5 Primary Care Associations (PCAs) Survey Tool Questions Form and Instruction
Form 1 HC COVID-19 Vaccine Prgrm Conditions of Participation Agreement Form and Instruction
Form 4 Addendum to COVID-19 Data Collection Survey Tool Form and Instruction
Form 3 COVID-19 Data Collection Survey Tool Form and Instruction
Form 2 Readiness Assessment Tool Form and Instruction
SUPPORTING STATEMENT - 0062 revision.docx Supporting Statement A
HRSA AADM to OIRA AA Memo_FINAL.pdf Supplementary Document
Primary Care Associations (PCAs) Survey Tool Questions Form and Instruction
HC COVID-19 Vaccine Prgrm Conditions of Participation Agreement Form and Instruction
Addendum to COVID-19 Data Collection Survey Tool Form and Instruction
COVID-19 Data Collection Survey Tool Form and Instruction
Readiness Assessment Tool Form and Instruction