Skip to Main Content

HRSA Electronic Handbooks

State Oral Health Workforce

pdf
  • Health Resources and Services Administration
  • Academic Year: 2023-2024
  • Bureau of Health Workforce
  • OMB Number: 0906-0086
  • Annual Performance Report
  • OMB Expiration Date: 03/31/2027

DV-3: Diversity - Rural Background

The DV-3 form captures aggregate-level information about the number of trainees who participated in each of the training programs or activities entered in the Training Program Setup form and are from a rural background. Please complete this form for each training program entered in the Training Program Setup form. If you have any questions about how to complete this form, please refer to the instruction manual and/or contact your Government Project Officer. If you wish to view data that were submitted in the prior reporting period, click on the ‘View Prior Period Data’ link and a read-only version of your most recent prior performance report will pop-up in a new screen. Also, records about ongoing training programs or activities from the prior reporting period will auto-populate into this form and are identified as ‘Prior Records’ under the column labeled "Record Status".


No.Record StatusType of Training Program
(1)
Trainees from Rural Residential Background
Enter # of Residents from a Rural Background
(4)
Block 3
Enter # of Program Completers from a Rural Background
(6)
Block 5

Scroll to top