OMB No.: 0915-0285. Expiration Date: 1/31/2020Health Center Agreements • December 20th, 2018
Contract Type FiledDecember 20th, 2018DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth Resources and Services Administration Form 8: Health Center Agreements FOR HRSA USE ONLY Grant Number Application Tracking Number Note: If a Health Center Program award recipient wishes to enter into an additional agreement/arrangement post-award that will either (1) result in another organization carrying out a substantial portion of the approved scope of project or (2) impact the governing board’s composition, authorities, functions, or responsibilities, a Prior Approval request must be submitted in EHB and approved by HRSA before the agreement/arrangement can be formalized and implemented. PART I Health Center Agreements 1. Does your organization have a parent, affiliate, or subsidiary organization? [_]Yes [_] No 2. Do you currently have, or propose to utilize:a) Contract(s) with another organization to perform substantive programmatic work within the proposed scope of project? For the purposes of the Health Center Program, contracti