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HRSA Electronic Handbooks

Community Health Worker 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

PC-1: Program Characteristics – Degree/Diploma/Certificate Training Programs

The Program Characteristics (PC) subforms are designed to collect additional information about training programs that were offered during the reporting period and were supported with BHW funds. Please complete the required subforms for each program that was entered in the Training Program Setup form. The PC-1 subform collects information specific to Degree/Diploma/Certificate Training Programs only.  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)
Block 1
Type of Degree Offered
(2)
Block 1j
Primary Focus Area
(3)
Block 1k
Delivery Mode Used to Offer Program
(4)
Block 1k.1
Select the Primary Purpose of the Grant Partnership(s) Developed or Enhanced using BHW Funding
(5a)
Select Types of Partner Organizations for the Primary Purpose
(5b)
Select Secondary Purpose(s) of the Grant Partnership(s)
(5c)
Enter Total # Enrolled (whether funded by BHW or not)Enter Total # Graduated/Completed (whether funded by BHW or not)Enter Total # Who left the Program Before Completion (whether funded by BHW or not)
Total
(7)
Block 3
URM
(8)
Block 3a
Disadvantaged Background and not URM
(9)
Block 3b
Total
(10)
Block 8
URM
(11)
Block 8a
Total
(12)
Block 9
URM
(13)
Block 9a

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