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HHS OMB 0970-0166 2019-2025 free printable template

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OMB Control No: 09700166 Expiration Date: 07312022MULTISTATE EMPLOYER REGISTRATION FORM FOR NEW HIRE REPORTING Employers who have employees working in two or more states may use this form to register
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Obtain the HHS OMB form from the official website or designated office.
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Review the instructions provided with the form for specific guidance.
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Fill in the required fields personal information, including name, address, and contact details.
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Provide details about the project or program being proposed.
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Include a clear and concise description of the purpose of the data collection.
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Specify the estimated burden on respondents, including time and resources required.
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Identify the target population and sampling methods if applicable.
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Submit the form as instructed, whether electronically or in hard copy.

Who needs HHS OMB?

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Organizations and individuals conducting research or data collection involving human subjects.
02
Government agencies needing to fulfill federal reporting requirements.
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Non-profits seeking funding for projects involving public data surveys.
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Businesses that are collecting information for analytical or reporting purposes.
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HHS OMB refers to the Department of Health and Human Services Office of Management and Budget, which is responsible for overseeing the development and implementation of policies, budgets, and regulations within federal health and social services programs.
Entities that receive federal funds from the Department of Health and Human Services, including various organizations, agencies, and contractors, may be required to file HHS OMB reports.
To fill out the HHS OMB form, organizations need to gather relevant financial data, programmatic information, and other required documentation, then follow the specific instructions provided in the form to accurately complete it.
The purpose of HHS OMB is to ensure proper management of federal funds, assess the effectiveness of health-related programs, and maintain accountability for the use of taxpayer money in health and social services initiatives.
Information that must be reported on HHS OMB may include budget estimates, financial statements, descriptions of program activities, performance metrics, and compliance with federal regulations.
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