-
Health Resources and Services Administration
-
-
Academic Year: 2025-2026
-
Bureau of Health Workforce
-
-
OMB Number: 0906-0086
-
Annual Performance Report
-
-
OMB Expiration Date: 03/31/2027
INDGEN-PY: Individual Prior Year
INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion Figure 1. INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion
Grayed fields are provided here for identification purposes only. Select the Individual’s Current Employment/Training Status - PY: Select the individual's current employment or training status by clicking the drop-down menu and choosing one of the following options.- Employed
- Completing additional education or training
- Seeking employment or unemployed
- Status unavailable
Select Individual's Current Employment/Training Activities - PY: - If "Employed" or "Completing Additional Education or Training" was selected in Column 14, select the individual’s current employment and training activities in Column 14. Select all that apply.
- If "Status Unavailable," "Seeking Employment or Unemployed," or "N/A" was selected, select 'N/A' in Column 14.
- Addressing nutritional health
- Applying for National Health Service Corps (NHSC) Loan Repayment
- Became professionally licensed/certified
- Preparing for a professional licensing/certifying exam
- Providing age-friendly and dementia-friendly care for older adults
- Providing behavioral health services
- Serving individuals with chronic disease
- Serving individuals with substance use disorders (SUD) or opioid use disorders (OUD)
- Transitioning to a non-health care field
- None of the above
- N/A
Enter Zip Code PY: - If"Employed" or "Completing Additional Education or Training" was selected in Column 13, enter a 5-digit zip code for the individual's primary employment/training setting in Column 14a. -If employment is outside of USA, enter "88888" as the zip code.
- If "Status Unavailable," "Seeking Employment or Unemployed," or "N/A" was selected in Column 13, leave zip code blank.
City PY: City will auto-populate based on the zip code entered in Column 14a after you save and validate the form."State PY: State will auto-populate based on the zip code entered in Column 14a after you save and validate the form.Select Employment Type - PY: - If "Employed" was selected in Column 14, identify the individual’s type of employment by clicking on the drop-down menu and selecting the best option among those listed below in Column 14d.
- If "Completing Additional Education or Training," "Status Unavailable," "Seeking Employment or Unemployed," or "N/A" was selected, select 'N/A' in Column 14d.
- Academic Institution
- Academic Medical Center
- Area Health Education Center
- Certified Community Behavioral Health Clinic (CCBHC)
- Community Behavioral Health/Mental Health Center
- Community Health Center (CHC)
- Critical Access Hospital
- Federal Government
- FQHC or Look-Alike
- Health Department (local/state/tribal)
- Hospital (non-academic)
- Indian Health Service (IHS)/Tribal/Urban Indian Health Center
- Nursing Home
- Other Clinical Health Setting
- Other Community-Based Organization
- Other Long-term Care Facility
- Other Specialty Clinic
- Private Industry
- Private Practice
- Residential Living Facility (including independent and assisted living)
- Rural Health Clinic
- School-based Clinic
- State or Local Government
- US Armed Forces
- Veterans Affairs Healthcare (e.g. VA hospital or clinic)
- N/A
Select Individuals Employment Location Settings - PY : - Medically Underserved Community
- National Health Service Corps (NHSC)-Approved Site
- Primary Care Setting
- Rural Area
- None of the Above
- N/A
Warning For Column 14 and 14e, “None of the above” cannot be selected in combination with any other option. Warning N/A cannot be selected in combination with any other option Note If a participant has multiple employment or training/education locations, please select the one at which the participant spends most of their time to respond to Columns 14-24 Note If employment is outside of USA, enter "88888" as the zip code. Note if an individual is 'completing additional education or training' in addition to 'seeking employment or [being] unemployed', please select 'completing additional education or training' from the drop-down menu ReferenceRefer to the glossary - https://bhw.hrsa.gov/glossary for definitions of primary care settings, medically underserved communities, and rural areas. |
INDGEN-PY - Selecting Individual's Hiring Organization Figure 2. INDGEN-PY - Selecting Individual's Hiring Organization
Select Whether Your Organization Hired this Individual - PY: Select Whether a Partner Organization Hired this Individual - PY: To Complete the Form: Click on the "Save and Validate" button located on the bottom right corner of your screen. If no errors are found, the BPMH system will automatically route you to the next required subform. |
|