| DOCUMENT
NUMBER: 2006-06
DATE: October 13, 2005
DOCUMENT NAME: Revisions to Policy Information
Notice 2003-21, Federally Qualified Health Center Look-Alike
Guidelines and Application
TO: Federally Qualified Health Center Look-Alikes
Consolidated Health Center Program Grantees
Primary Care Associations
Primary Care Offices
This Program Information Notice (PIN) announces a revision
to PIN 2003-21: Federally Qualified Health Center (FQHC)
Look-Alike Application and Guidelines. Effective immediately,
the Office of Management and Budget approval for information
collection, control number 0915-0142, has been extended
to October 31, 2008.
This notification means that the Health Resources and
Services Administration continues to have the authority
to request the data specified in PIN 2003-21 in order
to make a determination on an organization’s compliance
with FQHC Look-Alike requirements. Note that no changes
in data submission requirements have been made to PIN
2003-21. Therefore, FQHC Look-Alikes and applicants
should continue to refer to PIN 2003-21 when making
submissions.
To access PIN 2003-21 and other PINs affecting the
Program (e.g., PIN 2005-17, and Program Assistance Letter
2005-04), please use the document archive.
If you have any questions, please contact Elizabeth
Darling, FQHC Look-Alike Coordinator, at: 301-594-4300
or edarling@hrsa.gov.
/s
A. Michelle Snyder
Associate Administrator
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