Transcription of Ruth L. Kirschstein National Research Service Award Annual ...
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Ruth L. Kirschstein National Research Service Award Annual ...
PHS 6031-1 (Rev. 09/2020) Form Approved Through 02/28/2023 OMB No. 0925-0002 Department of Health and Human services Public Health Service Ruth L. Kirschstein National Research Service Award Annual payback Activities Certification (APAC) See instructions and Privacy Act information in transmittal letter. Please complete applicable sections. This form can also be downloaded from #training. Retain a copy for your files. Section III Employment Information When Engaged in payback NAME AND ADDRESS OF EMPLOYING ORGANIZATION NAME OF payback Service SUPERVISOR TITLE Section I payback Status (Check applicable blocks[s]) SIGNATURE OF payback Service SUPERVISOR DATE 1. Have not engaged in payback Service during reporting period.
Ruth L. Kirschstein National Research Service Award Annual Payback Activities Certification, PHS 6031-1 Keywords Ruth L. Kirschstein National Research Service Award Annual Payback Activities Certification, PHS 6031-1 (Rev. 08/12)
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