OMB control number

Rural Communities Opioid Response Program (RCORP) Grantee Data

OMB 0906-0044 · HHS/HRSA.

OMB 0906-0044

For this program, performance measures were developed to provide data on each RCORP initiative to enable HRSA to provide aggregate program data required by Congress under the Government Performance and Results Act of 1993. These measures cover the principal topic areas of interest to the Federal Office of Rural Health Policy (FORHP), including: (a) Provision of, and referral to, rural behavioral health care services, including Substance Use Disorder (SUD)/Opioid Use Disorder (OUD) prevention, treatment and recovery support services; (b) behavioral health care, including SUD/OUD prevention, treatment, and recovery, process and outcomes; (c) education of health care providers and community members; (d) emerging trends in rural behavioral health care needs and areas of concern; and (e) consortium strength and sustainability.

The latest form for Rural Communities Opioid Response Program (RCORP) Grantee Data expires 2029-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 8 RCORP –Impact PIMS Form and Instruction
Form 7 RCORP-NAS Measures Form and Instruction
Form 6 RCORP-CABH Measures Form and Instruction
Form 5 RCORP-Overdose Response Measures Form and Instruction
Form 4 RCORP-BHS Measures Form and Instruction
Form 3 RCORP-MAT Access Measures.pdf Form and Instruction
Form 2 RCORP - Psychostimulant Support Measures.docx Form and Instruction
Form 1b MAT Expansion Measures Form and Instruction
Form 1a Implementation Measures Form and Instruction
RCORP –Impact (NEW) Form and Instruction
RCORP –Impact (NEW) Form and Instruction
RCORP – Neonatal Abstinence Syndrome Form and Instruction
RCORP – Neonatal Abstinence Syndrome Form and Instruction
RCORP – Child and Adolescent Behavioral Health Form and Instruction
RCORP – Child and Adolescent Behavioral Health Form and Instruction
RCORP – Overdose Response Form and Instruction
RCORP – Overdose Response Form and Instruction
Rural Communities Opioid Response Program – Behavioral Health Care Support Form and Instruction
Rural Communities Opioid Response Program – Behavioral Health Care Support Form and Instruction
Rural Communities Opioid Response Program – MAT Access Form and Instruction
Rural Communities Opioid Response Program – MAT Access Form and Instruction
Rural Communities Opioid Response Program-Psychostimulant Support Form and Instruction
Rural Communities Opioid Response Program-Psychostimulant Support Form and Instruction
Rural Communities Opioid Response Program-Implementation Form and Instruction
Rural Communities Opioid Response Program-Implementation Form and Instruction
Rural Communities Opioid Response Program-Implementation Form and Instruction

All Historical Document Collections

202602-0906-002	No material or nonsubstantive change to a currently approved collection	2026-02-19
202512-0906-004	Revision of a currently approved collection	2025-12-23
202507-0906-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-07-23
202407-0906-002 Approved without change	Revision of a currently approved collection	2024-07-15
202306-0906-002 Approved without change	Revision of a currently approved collection	2023-07-03
202203-0906-001 Approved with change	Revision of a currently approved collection	2022-03-08
201907-0906-002 Approved without change	New collection (Request for a new OMB Control Number)	2019-07-29

OMB Details

Rural Communities Opioid Response Program-Implementation

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 1b	MAT Expansion Measures	Fillable Fileable	Form and instruction
Form 1a	Implementation Measures	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.