Hrsa form 6a fillable 2025

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The document is a form from the Health Resources and Services Administration (HRSA) that collects information about current board members of health centers. It includes sections for member details such as name, position, gender, area of expertise, income from the health industry, patient status, and demographic information. Additionally, it addresses whether the board represents a co-applicant board if applicable. The form also contains a public burden statement regarding information collection.

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