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HRSA Electronic Handbooks

Primary Care Training and Enhancement: Physician Assistant Rural Training Program

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

INDGEN-PY: Individual Prior Year

The INDGEN-PY subform captures 1-year follow-up information about individuals who received direct financial support (e.g., loans, loan repayment, scholarships, or stipends) through a HRSA grant or participated in specific types of HRSA-supported training programs and have since graduated or completed their training. Please complete this form for each individual listed below. 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.



No.Record StatusType of Training Program
(1)		Trainee Unique ID
(2)
Block 1		NPI Number
(2a)		Select Individual's Training or Awardee Category
(3)
Block 2		Select Individual's Enrollment / Employment Status
(4)
Block 3		Select Individual's Gender(s)
(5a)		Enter Year of Birth
(6a)		Select Individual's Ethnicity
(7)
Block 6		Select Individual's Race
(8)
Block 7		Select Whether Individual is from a Rural Residential Background
(9)
Block 8		Select Whether Individual is from a Disadvantaged Background
(10)
Block 9		Select Degree Earned
(11)
Block 22a		Select Individual's Post-Graduation/Completion Intentions
(12)
Block 22b		Enter Zip Code
(12a)		Select Type of Employment
(12b)		Select Individual's Employment Location Settings
(12c)		Select whether status/employment data are available for the individual 1-year post graduation/completion
(13)
Block 23		Select Individual's Current Training/Employment Status
(14)
Block 23a		Select Whether Your Organization Hired this Individual - PY
(16)		Select Whether a Partner Organization Hired this Individual - PY
(17)		Select Employment Location - PY
(18)		Enter Zip Code PY
(18a)		City PY
(18b)		State PY
(18c)

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