Get the free PHS 416-1 (Rev. 10/05), Combined Form File. Ruth L. Kirschstein National Research Se...
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Form Approved Through 10/31/08OMB No. 09250002Department of Health and Human Services
Public Health ServiceLEAVE Blanker PHS use only. Ruth L. Kirsch stein National Research Service AwardTypeActivityNumberIndividual
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phs 416-1 rev 1005 is a form used for reporting financial disclosure.
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The purpose is to ensure transparency and prevent conflicts of interest.
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Financial interests, investments, and other relevant information.
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