Common Contracts
1 similar Health Center Agreements contracts
OMB No.: 0915-0285. Expiration Date: 3/31/2023Health Center Agreements • August 7th, 2020
DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth Resources and Services Administration FORM 8: HEALTH CENTER AGREEMENTS FOR HRSA USE ONLY LAL Number Application Tracking Number Note: Look-alikes must be independently owned, controlled, and operated. If a look-alike wishes to enter into an agreement/arrangement after designation 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 beformalized 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 plan to utilize any contract or agreement with another organization to perform substantive programmatic work within the proposed scope of project? Contracting for
