№ files_lp_4_process_2_58263
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Administrative certification and questionnaire used by HRSA within the Health Center Program to document assurances, compliance conditions, and analytical information required when a health center submits a Change in Scope request to modify its approved project scope.
Program:
Health Center Program
Document Type:
Administrative form
Subject:
Change in Scope (CIS) request assurances and application questions
Issuing Organization:
Health Resources and Services Administration (HRSA)
Associated Agency:
Bureau of Primary Health Care (BPHC)
Regulatory Reference:
Section 330 of the Public Health Service Act
OMB Control Number:
0915-0285
Expiration Date:
XX/XX/20XX
Target Organizations:
Health center grantees and look-alikes
Related Programs:
340B Program; Federal Tort Claims Act (FTCA)
Required Attachments:
UDS Mapper Map and Data Table
Optional Attachments:
Supporting need documentation
Primary Topics:
Target populations, service area analysis, funding reallocation, maintenance of scope of project, compliance assurances
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Note:
Year
Context:
A form used for submitting initial civil case pleadings in the state of New Jersey, detailing case information and categorizing it based on various factors such as case type and discovery track.
Year:
2018
Region / City:
Philadelphia
Subject:
Information Technology, Project Management
Document Type:
Course Description
Organization / Institution:
Community College of Philadelphia
Author:
Barbara Anne Hearn
Target Audience:
Students pursuing a career in IT Project Management
Period of Validity:
Fall 2019 and onward
Approval Date:
November 28, 2018 (updated February 13, 2019)
Date of Changes:
February 13, 2019
Note:
Year
Topic:
Health Center Program
Document Type:
Policy Statement
Organization / Institution:
Health Resources and Services Administration (HRSA)
Target Audience:
Health centers, healthcare providers
Year:
2024
Region / city:
Liberia, Monrovia
Theme:
Climate Information System, Resilience, Vulnerable Communities
Document Type:
Terms of Reference
Organization:
Environmental Protection Agency (EPA)
Author:
Environmental Protection Agency (EPA), United Nations Development Program (UNDP)
Target Audience:
National Consultants
Period of Implementation:
30 days
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Context description
Year:
2023
Region / City:
Madrid, Spain
Topic:
Water Framework Directive (WFD), Ecological Status
Document Type:
Meeting Minutes
Organization / Institution:
European Commission Directorate-General for Environment
Author:
European Commission
Target Audience:
WFD CIS Working Group on Ecological Status participants
Period of Effect:
2023
Approval Date:
October 2023
Date of Changes:
N/A
Year:
2026
Region / City:
Kendal
Subject:
Job description
Document Type:
Job Profile
Organization / Institution:
Kendal College
Author:
Not specified
Target Audience:
Prospective applicants
Duration:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2023
Region / City:
Asia and CIS
Topic:
Digital Development
Document Type:
Seminar Opening Remarks
Organization / Institution:
ITTLLDC
Author:
Mr. Dulguun Damdin-Od
Target Audience:
Participants in the seminar, Digital development stakeholders
Action Period:
26 – 28 September 2023
Approval Date:
Not specified
Date of Modifications:
Not specified
Contextual Description:
Opening remarks at a joint seminar discussing digital development challenges and opportunities for Landlocked Developing Countries (LLDCs) in Asia and the CIS.
Year:
2004
Note:
Region / City
Topic:
Database Design, Database Queries
Document Type:
Assignment
Target Audience:
Students in Database Management
Year:
20XX
Region / City:
United States
Topic:
Health Center Program, Change in Scope Request
Document Type:
Official Health Center Program Compliance Document
Organization:
Health Resources and Services Administration (HRSA)
Author:
Health Center Management
Target Audience:
Health Center Staff, HRSA Administrators
Effective Period:
Until HRSA Approval of CIS Request
Approval Date:
XX/XX/20XX
Modification Date:
Not specified
Year:
2019
Location:
Kishwaukee College, A-1228
Topic:
Computer Information Systems program updates and curriculum changes
Document type:
Meeting agenda and minutes
Committee:
CIS Advisory Committee
Attendees:
David Klick, Paul Gullman, Jim Sager, Dave Wessel, Terry Lyn Funston, Adam Larsen, RJ McGarry, Chase Budziak, Sarah Brown
Roles:
Chair, committee members, minute taker
Programs discussed:
Networking and Systems Administration A.A.S., Microcomputer Applications Certificate, PC Technician Certificate, Programming and Web Development A.A.S., Google IT Support Professional Certificate
Enrollment data:
SP18–SP19 headcount decrease from 238 to 167
Curriculum decisions:
Suspension of networking courses, adjustments to certificate requirements, elective modifications
Year:
2025
Region:
South Carolina, United States
Topic:
Procurement / Qualified Providers
Document Type:
Official List
Agency:
Department of Corrections
Author:
Monica Briseno
Maximum QPL Period:
April 30, 2025 through 2030
Solicitation Number:
5400027975
Posting Date:
April 30, 2025
Vendor Names:
TRACE-TEK LLC, SDF INC, TECORE INC, OMNIPROPHIS CORPORATION, SHAWNTECH COMMUNICATIONS INC, SOC LLC
Context:
Official government list of FCC-approved CIS providers for contraband device management and detection services issued under South Carolina procurement regulations.
Country:
United Kingdom
Tax scheme:
Construction Industry Scheme (CIS)
Subject:
Classification of property developers and property investors for tax purposes
Document type:
Fact sheet
Issuing authority:
HM Revenue & Customs
Industry:
Construction and property investment
Key classifications:
Mainstream contractors; Deemed contractors
Financial threshold:
£3 million construction expenditure within 12 months
Administrative requirements:
CIS registration, subcontractor verification, payment deductions, monthly CIS returns
Target audience:
Property developers, property investors, construction contractors, subcontractors
Regulatory context:
Construction Industry Scheme taxation rules in the United Kingdom
Year:
2021
Region / City:
New York City metropolitan area
Topic:
Mental health, COVID-19, occupational experiences
Document Type:
Research Supplement
Author:
Not specified
Target Audience:
Healthcare workers, researchers in mental health and COVID-19 studies
Period of Action:
During the COVID-19 pandemic
Date of Approval:
Not specified
Date of Changes:
Not specified
Document Title:
Assurances and Questions for Change in Scope (CIS) Request
Document Type:
Administrative form
Program:
Health Center Program
Administering Agency:
Health Resources and Services Administration (HRSA)
Oversight Bureau:
Bureau of Primary Health Care (BPHC)
Related Federal Statute:
Section 330 of the Public Health Service Act
OMB Control Number:
0915-0285
Expiration Date:
XX/XX/20XX
Subject:
Change in Scope request assurances, eligibility criteria, and service area analysis
Applicable Programs:
330(e) Community Health Center (CHC); 330(g) Migratory and Seasonal Agricultural Workers (MHC); 330(h) Health Care for the Homeless (HCH); 330(i) Public Housing Primary Care (PHPC)
Intended Users:
Federally funded health centers and Health Center Program grantees or look-alikes
Required Attachments:
UDS Mapper Map and Data Table
Optional Attachments:
Supporting documentation demonstrating community need
Key Sections:
Assurances; Target Population Selection; Patient Data; Section 330 Funding Reallocation; Maintenance of Approved Scope of Project; Service Area Analysis
Implementation Requirement:
Change must be implemented and verified within 120 days after HRSA approval
Submission Condition:
Proposed implementation date at least 60 days after submission to HRSA
Geographic Scope:
United States health center service areas
Year:
FY2021
Region:
Alaska, United States
Subject:
Education, Federal Relief Programs, COVID-19 Response
Document Type:
Assurances and Certification Packet
Issuing Authority:
Alaska Department of Education and Early Development
Applicable Programs:
Governors’ Emergency Education Relief Fund (GEERF), Elementary and Secondary School Emergency Relief Fund (ESSERF)
Date Revised:
June 2020
Submission Method:
Grants Management System (GMS)
Legal References:
CARES Act Sections 18002, 18003(d)(1), 18006; GEPA Sections 427, 442; 34 CFR parts 75, 76, 77, 81, 82, 84, 86, 97, 98, 99; 2 CFR parts 180, 200, 3474, 3485
Authorized Signatory:
Local Education Agency Superintendent or Authorized Representative
Requirements:
Compliance with federal and state laws, reporting obligations, equitable services to non-public schools, record-keeping and inspection rights
Binding Agreement:
LEA, Alaska Department of Education and Early Development, U.S. Department of Education
Formal Assurances:
Legal authority, access to records, nondiscrimination, labor standards, Single Audit Act, and other federal requirements
Year:
2025
Region / City:
Alaska
Subject:
Education, Federal Grants, COVID-19 Relief
Document Type:
Federal Grant Application
Agency:
Alaska Department of Education and Early Development
Author:
Alaska Department of Education and Early Development
Target Audience:
Local Education Agencies (LEAs)
Effective Period:
FY2025
Approval Date:
July 2024
Revision Date:
July 2024
Year:
2021
Region / City:
Florida
Theme:
Education, School Recovery, COVID-19 Response
Document Type:
Government Plan
Agency:
Florida Department of Education
Author:
Hardee County School District
Target Audience:
Educational Institutions, Local Educational Agencies, School Leaders, Teachers
Period of Validity:
2021-2024
Approval Date:
November 12, 2021
Date of Changes:
N/A
Year:
2024
Region / City:
Juneau, AK
Subject:
COVID Discretionary Grants
Document Type:
Assurances Packet
Organ / Institution:
Alaska Department of Education and Early Development
Author:
Alaska Department of Education and Early Development
Target Audience:
Grantees, superintendents, authorized representatives
Period of Validity:
Ongoing, subject to approval
Approval Date:
Not specified
Date of Amendments:
July 2024
Year:
2021
Region / City:
Alaska
Theme:
Education Funding
Document Type:
Certification Packet
Organization:
Alaska Department of Education and Early Development
Author:
Not specified
Target Audience:
Local Education Agencies (LEA), District Representatives
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
January 2021