Skip to Main Content

HRSA Electronic Handbooks

Promoting Resilience and Mental Health Among Health Professional Workforce

pdf
  • Health Resources and Services Administration
  • Academic Year: 2022-2023
  • Bureau of Health Workforce
  • OMB Number: 0915-0061
  • Annual Performance Report
  • OMB Expiration Date: 01/31/2025

DV-2: Trainees from a Disadvantaged Background

The DV-2 form captures aggregate-level information about the disadvantaged background status of trainees who participated in each of the training programs or activities entered in the Training Program Setup form. Please complete this form for each training program 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. 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)
EnrolleesProgram CompletersSelect Training Activity Status in the Current Reporting Period
(12)
Enter Total # from Disadvantaged Background
(2)
Block 1
Enter # from Disadvantaged Background who are not URM
(3)
Block 2
Enter Total # from Disadvantaged Background
(10)
Block 9
Enter # from Disadvantaged Background who are not URM
(11)
Block 10

Scroll to top