OMB No.: 0915-0285. Expiration Date: XX/XX/20XXHealth Center Agreements • February 15th, 2023
DEPARTMENT 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 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 plan to utilizea) Contract(s) with another organization to perform substantive programmatic work within the proposed scope of project? For the purposes of the Health Center Program, contracting for substan
Form 8 – Health Center AgreementsHealth Center Agreements • July 15th, 2015
DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth Resources and Services Administration Form 8: HEALTH CENTER AGREEMENTS FOR HRSA USE ONLY Grant Number Application Tracking Number Note: When a health center award recipient wishes to establish an agreement/arrangement in the future 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 have, or propose to make as part of this application any subawards to subrecipients and/or will you contract with another organization to carry out a substantial portion of the proposed scope of project? Contracts for a substanti
ContractHealth Center Agreements • February 24th, 2014
DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Form 8: HEALTH CENTER AGREEMENTS FOR HRSA USE ONLY
OMB No.: 0915-0285. Expiration Date: 1/31/2020Health Center Agreements • December 20th, 2018
DEPARTMENT 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
OMB No.: 0915-0285. Expiration Date: XX/XX/20XXHealth Center Agreements • February 9th, 2023
DEPARTMENT 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 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 plan to utilizea) Contract(s) with another organization to perform substantive programmatic work within the proposed scope of project? For the purposes of the Health Center Program, contracting for substan
OMB No.: 0915-0285. Expiration Date: XX/XX/20XXHealth Center Agreements • February 24th, 2020
Note: If a Health Center Program award recipient wishes to enter into an 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.
Form 8: Health Center AgreementsHealth Center Agreements • May 2nd, 2022
DEPARTMENT 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 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 EHBs 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?If Yes, indicate the number of each agreement by type in 1a, 1b, or 1c below and complete Part II. If No, Part II is Not Applicable. [_]Yes [_] No 1a. Number of Parent Organizations 1b. Number of Affiliate Organizations 1c. Number of Subsidiary
Form 8: Health Center AgreementsHealth Center Agreements • May 3rd, 2024
DEPARTMENT 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 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 EHBs 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?If Yes, indicate the number of each agreement by type in 1a, 1b, or 1c below and complete Part II. [_]Yes [_] No 1a. Number of Parent Organizations (number) 1b. Number of Affiliate Organizations (number) 1c. Number of Subsidiary Organizations (numb
Form 8: Health Center AgreementsHealth Center Agreements • June 24th, 2022
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 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 EHBs 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?If Yes, indicate the number of each agreement by type in 1a, 1b, or 1c below and complete Part II. If No, Part II is Not Applicable. [_]Yes [_] No 1a. Number of Parent Organizations 1b. Number of Affiliate Org
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
OMB No.: 0915-0285. Expiration Date: 9/30/2016Health Center Agreements • April 1st, 2016
DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth Resources and Services Administration Form 8: HEALTH CENTER AGREEMENTS FOR HRSA USE ONLY Grant Number Application Tracking Number Note: When a health center grantee wishes to establish an agreement/arrangement in the future 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 have, or propose to make as part of this application, any subawards to subrecipients and/or will you contract with another organization to carry out a substantial portion of the proposed scope of project? Contracts for a substantial por
Form 8: Health Center AgreementsHealth Center Agreements • April 8th, 2021
DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth Resources and Services Administration Form 8: HEALTH CENTER AGREEMENTS FOR HRSA USE ONLY Grant Number ApplicationTracking Number Note: If a Health Center Program award recipient wishes to enter into an 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 EHBs 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 plan to utilizea) Contract(s) with another organization to perform substantive programmatic work within the proposed scope of project? For the purposes of the Health Center Program, contracting for substan
Form 8: Health Center AgreementsHealth Center Agreements • July 3rd, 2019
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: When a look-alike wishes to establish an agreement/arrangement in the future 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 HRSA EHB and approved by HRSA before the agreement/arrangement can be formalized andimplemented. PART I Health Center Agreements 1. Does your organization have a parent, affiliate, or subsidiary organization? [_]Yes [_] No 2. Do you have, or propose to make as part of this application any contract with another organization to carry out a substantial portion of the proposed scope of project? Contracts for a substantial portion of the award include contracting for the majority
