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| Form
Number |
Title |
Revision Date |
Adobe |
MDF (Form Filler) |
MS
Word |
|---|---|---|---|---|---|
Health and Human Services (HHS) |
|||||
| HHS-568 | Procedures for Submission of Final Invention Statement | 05/01 |
 |
N/A |
 |
| HHS-687 | Consent to Sterilization | 10/00 |
N/A |
N/A |
N/A |
| HHS-687-1 | Consent to Sterilization (Spanish Version) | 10/00 |
N/A |
N/A |
N/A |
Public Health Service (PHS) |
|||||
| PHS-50 | Application for Appointment as a Commissioned Officer in the US Public Health Service Commissioned Corps | 10/03 |
|
N/A |
N/A |
| PHS-398 | Application for PHS Grant | 04/98 |
|
N/A |
|
| PHS-416-1 | Application
for PHS Individual National Research Service Award Instructions |
08/98 |
|
N/A |
|
| PHS-416-5 | Research Fellowship Activation Notice | 06/02 |
|
N/A |
N/A |
| PHS-416-7 | Termination Notice NRSA | 06/02 |
|
N/A |
N/A |
| PHS-416-9 | Application
for PHS Individual National Research Service Continuation Award Instructions |
06/02 |
|
N/A |
N/A |
| PHS-1813 | Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps | 10/03 |
|
N/A |
N/A |
| PHS-2271 | Statement of Appointment of Trainee | 05/01 |
|
N/A |
N/A |
| PHS-2590 | Application for Continuation of a PHS Grant | 04/98 |
|
N/A |
N/A |
| PHS-3734 | Official Statement Relinquishing Interest and Rights in a PHS Research Grant | 05/81 |
|
 |
N/A |
| PHS-5161-1 | Grant Application for Non-Construction Projects | 07/00 |
* |
N/A |
|
| PHS-6031 | National Research Service Award | 06/02 |
|
N/A |
N/A |
| PHS-6031-1 | Annual National Research Service Award | 07/00 |
|
N/A |
N/A |
| PHS-6349 | Annual Report on Possible Research Misconduct | 01/04 |
|
N/A |
|
Program Support Center (PSC) |
|||||
| PSC-54 | PSC Application to the Board for Correction of Public Health Service | 11/02 |
|
N/A |
N/A |
| PSC-270 | Request for Advance or Reimbursement | 05/85 |
|
N/A |
N/A |
Substance Abuse and Mental Health Services Administration (SAMHSA) |
|||||
| SMA-162 | Application for Certification to Use Opioid Drugs in a Treatment Center | 01/03 |
N/A |
N/A |
|
| SMA-167 | Notification of Intent to Use Opioid Drugs for Maintenance and Treatment | 00/00 |
N/A |
N/A |
|
| SMA-171 | Prevention Registry | Exp 06/06 | N/A |
N/A |
|
| SMA-172 | SAMHSA Application for Peer Grant Review | Exp 06/04 | N/A |
N/A |
Last Revised: October 7, 2004
 |