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Instructions and Form Files for PHS 416-1
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN" "http://www.w3.org/TR/html4/loose.dtd"> <html> <head> <meta http-equiv="Content-Language" content="en-us"> <meta http-equiv="Content-Type" content="text/html; charset=windows-1252"> <title>Instructions and Form Files for PHS 416-1</title> <!-- Google Tag Manager --> <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-T2DH393N');</script> <!-- End Google Tag Manager --> <link rel="stylesheet" type="text/css" href="instructions.css"> <style type="text/css"> <!-- .style1 { color: #FF0000; font-weight: bold; font-size: large; } .style2 { font-size: x-large; font-style: italic; } --> </style> </head> <body> <!-- Google Tag Manager (noscript) --> <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-T2DH393N" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript> <!-- End Google Tag Manager (noscript) --> <!-- "forms" and "sbir" bookmarks are needed for existing links from the OER SBIR page and from links within the 398 Instructions and SBIR/STTR solicitation docs. --> <a name="forms"></a> <div id="content"> <img width=565 height=229 src="PHS416-1.jpg" alt="PHS416-1 logo" title="PHS416-1 logo"> <h1 class="title1">U.S. Department of Health and Human Services<br> National Institutes of Health and <br> Agency for Healthcare Research and Quality</h1> <h1>Ruth L. Kirschstein National Research Service Award<br> Individual Fellowship Application<br> <span class="title416">PHS 416-1 (Revised 1/2021)</span></h1> <p><strong>All notable changes made to PHS 416-1 are listed at the <a href="#updates">bottom of this page</a> (Updated 1/08/2021).</strong></p> <p align="center" class="style1">** PHS 416-1 IS TO BE USED <span class="style2"><u>ONLY</u></span> FOR A CHANGE OF SPONSORING INSTITUTION APPLICATION **<br> COMPETING NEW, RENEWAL OR RESUBMISSION FELLOWSHIP APPLICATIONS MUST USE THE SF424 (R&R) FELLOWSHIP APPLICATION PACKAGE AND APPLICATION GUIDE FOR ELECTRONIC SUBMISSION VIA GRANTS.GOV. ANY NEW, RENEWAL OR RESUBMISSION APPLICATION SUBMITTED USING THE PHS 416-1 WILL BE RETURNED AND NOT REVIEWED.</p> <hr size=2 width="100%" noshade align=center> <h2>Downloadable Instructions and Form Files </h2> <table> <tr> <td>Specific Instructions for a Change of Sponsoring Institution Application </td> <td class="center"><a href="Fellowship_Transfer.pdf">PDF</a> (43 KB)</td> </tr> </table> <h4>PHS 416-1 Fillable Forms</h4> <p>The links below allow for downloading of individual form files in MS Word and PDF formats.</p> <table id="formtable"> <tr> <th class="left nowrap" style="border-right-width:0;" scope="col" >Fillable Individual PHS 416-1 Forms</th> <th class="left nowrap" style="border-right-width:0;" scope="col" > </th> <th style="border-right-width:0; border-left-width:0;"> </th> </tr> <tr> <td scope="row">Form Page 1: Face Page</td> <td class="center"><a href="416-1fp1.docx">MS Word</a> (76 KB) </td> <td class="center"><a href="416-1fp1.pdf">PDF</a> (73 KB) </td> </tr> <tr> <td scope="row">Form Page 2 Sponsor/Co-Sponsor Contact Information and Description</td> <td class="center"><a href="416-1fp2.docx">MS Word</a> (56 KB) </td> <td class="center"><a href="416-1fp2.pdf">PDF</a> (31 KB) </td> </tr> <tr> <td scope="row">Form Page 3: Goals, Activities Planned, Training Sites, Human Embryonic Stem Cells</td> <td class="center"><a href="416-1fp3.docx">MS Word</a> (76 KB) </td> <td class="center"><a href="416-1fp3.pdf">PDF</a> (45 KB) </td> </tr> <tr> <td scope="row">Project/Performance Site Format Page - use only if additional space is needed</td> <td class="center"><a href="416-performancesites.docx">MS Word</a> (92 KB)</td> <td class="center"><a href="416-performancesites.pdf">PDF</a> (288 KB)</td> </tr> <tr> <td scope="row">Form Page 4: Table of Contents</td> <td class="center"><a href="416-1fp4.docx">MS Word</a> (83 KB) </td> <td class="center"><a href="416-1fp4.pdf">PDF</a> (98 KB) </td> </tr> <tr> <td scope="row">Checklist Form Page</td> <td class="center"><a href="416-1checklist.docx">MS Word</a> (58 KB)</td> <td class="center"><a href="416-1checklist.pdf">PDF</a> (272 KB)</td> </tr> <tr> <td scope="row">Continuation Page</td> <td class="center"><a href="416-1cont.docx">MS Word</a> (35 KB)</td> <td class="center"><a href="416-cont.pdf">PDF</a> (214 KB)</td> </tr> </table> <h3>Biosketches: see <a href="/grants-process/write-application/forms-directory/biosketch">Biosketch Format Pages, Instructions, and Samples</a></h3> <p> <a href="/faqs#/biosketches.htm">Biosketch FAQs</a> </p> <h4>For Questions Related to:</h4> <ul> <li><strong>Application Procedures/Forms Submission:</strong> contact GrantsInfo at <a href="/cdn-cgi/l/email-protection#caadb8aba4beb9a3a4aca58aa4a3a2e4ada5bc"><span class="__cf_email__" data-cfemail="640316050a10170d0a020b240a0d0c4a030b12">[email protected]</span></a> or 301-945-7573.</li> </ul> <p><span class="subheading">Note:</span> Other software packages for completing these applications may be available from other sources; however, it is essential that the type size and format specifications are met. Otherwise, application processing may be delayed, or the application may be returned to the applicant without review.</p> <p><span class="subheading">Disclaimer:</span> Reference to these software packages neither constitutes nor should be inferred to be an endorsement or recommendation of any product, service, or enterprise by the National Institutes of Health, any other agency of the United States Government, or any employee of the United States Government. No warranties are stated or implied.</p> <hr size=2 width="100%" align=center> <h2><a name=updates></a>Notable Changes Made to PHS 416-1</h2> <ul> <li><strong><em>1/08/2021</em></strong></li> <ul type="circle"> <ul type="circle"> <li>Updated OMB clearance expiration dates on all forms.</li> </ul> </ul> </ul> <ul> <li><strong><em>1/25/2018</em></strong></li> <ul type="circle"> <ul type="circle"> <li>Updated OMB clearance expiration dates on all forms.</li> </ul> </ul> </ul> <div align="center"> <hr size="3" width="100%" noshade align="center"> </div> <hr size=2 width="100%" align=center> <p class="center"><a href="/grants-process/write-application/forms-directory">Go to Forms Directory</a></p> <p> </p> <div id="embed-survey"></div> </div> <script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body> </html>