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https://www.shipcovidreporting.com/
Submission: On July 11 via manual from US — Scanned from DE
Submission: On July 11 via manual from US — Scanned from DE
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2 forms found in the DOMGET https://www.shipcovidreporting.com/
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<legend class="frm_screen_reader">Select Your State</legend>
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<h2>Welcome to the SHIP COVID-19 Testing and Mitigation Reporting Portal</h2>
<p></p>
<h3>Introduction</h3>
<p>The American Rescue Plan Act of 2021 (P.L. 117-2) provides one-time funding for awards that will be carried out under Section 711 of the Social Security Act (42 U.S.C. 912(b)(5)). Small Rural Hospital Improvement Program (SHIP) state
grantees will improve health care in rural areas by using the funding to provide support to eligible rural hospitals to increase COVID-19 testing efforts, expand access to testing in rural communities, and expand the range of mitigation
activities.<br> Funded activities include testing education, establishment of alternate testing sites, test result processing, arranging for the processing of test results, and engaging in other activities within the CDC Community
Mitigation Framework to address COVID-19 in rural communities.<br></p>
<h3>Public Burden Statement</h3>
<p>The purpose of this data collection system is to collect aggregate data on the number of small rural hospitals, number of COVID-19 tests conducted, and the types of allowable SHIP services provided with SHIP American Rescue Plan (ARP)
COVID-19 Testing and Mitigation funding. FORHP will use these data to show how SHIP ARP COVID-19 Testing and Mitigation funding is used. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number. The OMB control number for this information collection is 0906-0066 and it is valid until 06/30/2025. This information collection is required to obtain or retain a
benefit (FY 2021 American Rescue Plan Act - P.L. 117-2). Public reporting burden for this collection of information is estimated to average .25 hours per response, including the time for reviewing instructions, searching existing data
sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports
Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or <a href="mailto:paperwork@hrsa.gov">paperwork@hrsa.gov</a>.<br></p>
<h3>Privacy Act Statement</h3>
<p>The following statement serves to inform you of the purpose for collecting personal information required by the SHIPCovidReporting.com and how it will be used.<br><b>AUTHORITY:</b> American Rescue Plan Act (Public Law No: 117-2). This
page is managed by the National Association of Rural Health Clinics under cooperative agreement G27RH42182 with the Federal Office of Rural Health Policy, Health Resources and Services Administration (HRSA).<br>
<b>PURPOSE:</b> To collect information per the requirements as specified in the terms and conditions for the SHIP COVID-19 Testing and Mitigation Program. This reporting system does not replace any other reporting requirements that
hospitals or state offices of rural health may have with respect to COVID-19, such as those required for public health surveillance purposes.<br>
<b>ROUTINE USES:</b> The information collected will be used by HRSA to monitor and assess the impact of the funding provided to small rural hospitals for COVID-19 testing and mitigation related expenses.<br>
<b>DISCLOSURE:</b> Mandatory. Hospitals that receive SHIP COVID-19 Testing and Mitigation Funds, (or their state offices of rural health) are expected to provide information quarterly.<br><br>
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<h5><b>What State is your Hospital in?</b></h5>
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<option value="ME"> ME </option>
<option value="MI"> MI </option>
<option value="MN"> MN </option>
<option value="MO"> MO </option>
<option value="MS"> MS </option>
<option value="MT"> MT </option>
<option value="NC"> NC </option>
<option value="ND"> ND </option>
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<option value="NH"> NH </option>
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<option value="SC"> SC </option>
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<option value="TN"> TN </option>
<option value="TX"> TX </option>
<option value="UT"> UT </option>
<option value="VA"> VA </option>
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Text Content
support@shipcovidreporting.com * Home * FAQ Select Page * Home * FAQ Select Your State WELCOME TO THE SHIP COVID-19 TESTING AND MITIGATION REPORTING PORTAL INTRODUCTION The American Rescue Plan Act of 2021 (P.L. 117-2) provides one-time funding for awards that will be carried out under Section 711 of the Social Security Act (42 U.S.C. 912(b)(5)). Small Rural Hospital Improvement Program (SHIP) state grantees will improve health care in rural areas by using the funding to provide support to eligible rural hospitals to increase COVID-19 testing efforts, expand access to testing in rural communities, and expand the range of mitigation activities. Funded activities include testing education, establishment of alternate testing sites, test result processing, arranging for the processing of test results, and engaging in other activities within the CDC Community Mitigation Framework to address COVID-19 in rural communities. PUBLIC BURDEN STATEMENT The purpose of this data collection system is to collect aggregate data on the number of small rural hospitals, number of COVID-19 tests conducted, and the types of allowable SHIP services provided with SHIP American Rescue Plan (ARP) COVID-19 Testing and Mitigation funding. FORHP will use these data to show how SHIP ARP COVID-19 Testing and Mitigation funding is used. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this information collection is 0906-0066 and it is valid until 06/30/2025. This information collection is required to obtain or retain a benefit (FY 2021 American Rescue Plan Act - P.L. 117-2). Public reporting burden for this collection of information is estimated to average .25 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or paperwork@hrsa.gov. PRIVACY ACT STATEMENT The following statement serves to inform you of the purpose for collecting personal information required by the SHIPCovidReporting.com and how it will be used. AUTHORITY: American Rescue Plan Act (Public Law No: 117-2). This page is managed by the National Association of Rural Health Clinics under cooperative agreement G27RH42182 with the Federal Office of Rural Health Policy, Health Resources and Services Administration (HRSA). PURPOSE: To collect information per the requirements as specified in the terms and conditions for the SHIP COVID-19 Testing and Mitigation Program. This reporting system does not replace any other reporting requirements that hospitals or state offices of rural health may have with respect to COVID-19, such as those required for public health surveillance purposes. ROUTINE USES: The information collected will be used by HRSA to monitor and assess the impact of the funding provided to small rural hospitals for COVID-19 testing and mitigation related expenses. DISCLOSURE: Mandatory. Hospitals that receive SHIP COVID-19 Testing and Mitigation Funds, (or their state offices of rural health) are expected to provide information quarterly. WHAT STATE IS YOUR HOSPITAL IN? * Please Select Your State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY If you are human, leave this field blank. Click Here to Continue For more information click on the links below: Frequently Asked Questions (Health Resources and Services Administration) SHIP COVID Testing and Mitigation Copyright © 2021 - 2022 All Rights Reserved OMB Number (0906-0066) Expires 06/30/2025