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Health Resources and Services Administration
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Academic Year: 2023-2024
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Bureau of Health Workforce
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OMB Number: 0906-0086
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Annual Performance Report
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OMB Expiration Date: 03/31/2027
CHGME Hospital Data-CHD Subforms
CHD Subforms - IntroductionWarning
Multiple steps are required to complete this portion of the subform. Please read instructions carefully.
Figure 1. CHD Subforms - Introduction
Medicare Provider Number: This field will be prepopulated with your hospital's information.Year hospital first received funding: Enter the calendar year that your hospital first received CHGME funding in the textbox labeled 'Year hospital first received funding.'How many outside institutions send residents to your hospital?: Enter the number of outside institutions that send residents to your hospital in the textbox. Note
These forms are required for all reporting programs including fellowships, residencies, and major participating site/rotation sites that trained at greater than 75% of an FTE. |
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