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Form hhs 441 PDF results

Assurance of compliance

The applicant further recognizes and agrees that the united states shall have the right to seek judicial enforcement of this assurance. form hhs-690 1/09 1.

Tennessee department of health ocrc/linton on-site survey form

Title vi assurance of compliance (form-hhs 441) b. section 504 assurance of compliance (form-hhs-442) 1200-8-16-.02(8) (c) 8c. the facility utilizes its referral...

Centers for medicare & medicaid services, hhs §441

Centers for medicare & medicaid services, hhs §441.355 age 65, defined as the total medical assist-ance payments (federal and state) re-ported on line 6 of form cms...

Centers for medicare & medicaid services, hhs §441

Centers for medicare & medicaid services, hhs §441.302 service and definitions may not... (2) a copy of the evaluation form to be used; and if it differs from the form

Som - exhibit 63

... civil rights (ocr) clearance •assurance of compliance form •medicare certification civil rights information request form (and applicable attachments) hhs-690 and hhs-441...

Individual fellowship application

hhs 441 or hhs 690) •handicapped individuals (form hhs 641 or hhs 690) •sex discrimination (form hhs 639-a or hhs 690) •age discrimination (form hhs 680 or hhs...

New base minus face and checklist

(form hhs 441 or hhs 690) •handicapped individuals (form hhs 641 or hhs 690) •sex discrimination (form hhs 639-a or hhs 690) •age discrimination (form hhs 680 or hhs...

Voluntary compliance agreement

As a recipient of federal financial assistance from hhs in the form ofa tanf block grant, dcf must comply with section 504 and title vi. e. *the personal...

Phs 2590 (rev. 9/04), grant progress report

... lobbying • non-delinquency on federal debt • research misconduct • civil rights (form hhs 441 or hhs 690); • handicapped individuals (form hhs 641 or hhs...

Medicare state operations manual

Http://www.hhs.gov/ocr/civilrights/reso urces/providers/medicare_ p roviders/index.html... extract, form cms-3427e (to be used with part ii of form cms-3427)...

form approved through 05/2004 omb no. 0925-0001

(form hhs 441 or hhs 690); •handicapped individuals (form hhs 641 or hhs 690); •sex discrimination (form hhs 639-a or hhs 690); •age discrimination (form hhs...

Dhhs, public health service grant application

... to new [type 1] or revised/resubmission [type 1] applications only) •lobbying •non-delinquency on federal debt •research misconduct •civil rights (form hhs 441 or hhs...

Department of health & human services national institutes of health

... require the one-time submission of assurance form hhs 690 prior to award and certification in all subsequent applications that the form (or the previous forms hhs 441...

Nih/grants. gov guidance

... applicable to new [type 1] or revised [type 1] applications only); *lobbying; *non-delinquency on federal debt; *research misconduct; *civil rights (form hhs 441 or hhs...

Bqa 97-016 accreditation of ascs

... package consisting of the following documents, which must be completed and returned, along with a copy of the accreditation letter, to the sa. • form hhs-441...

Huntsville high school 441 fm 2821 east huntsville, tx 77320

Huntsville high school 441 fm 2821 east huntsville, tx 77320 office of the registrar mrs. dawn porter date of request: number of copies needed:...

North carolina state board of education/university of north carolina

... title vi and vii of the civil rights act of 1964, and executive order 11246 and certifies that it has a valid assurance of compliance on file with the dhhs (form hhs 441).

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