Get the free PHS 416-1 (Rev. 10/05), Combined Form File - Squarespace

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

How to fill out phs 416-1 rev 1005

How to fill out phs 416-1 rev 1005

1. To fill out phs 416-1 rev 1005, follow these steps:
2. Begin by reading the instructions on the form thoroughly to understand the purpose and requirements.
3. Fill in your personal information, such as your name, address, and contact details, in the designated fields.
4. Provide information about the program in which you are participating or applying for funding.
5. Answer the questions regarding your eligibility and qualifications for the program.
6. Fill in details about your academic background, such as degrees obtained, educational institutions attended, and dates of attendance.
7. Provide information about your professional experience, including previous employment, positions held, and responsibilities.
8. Include any relevant certifications, licenses, or trainings you have completed.
9. Fill in details about any publications, research projects, or presentations you have been involved in, if applicable.
10. Provide information about your references, including their names, contact details, and their relationship to you.
11. Review the completed form to ensure accuracy and make any necessary corrections.
12. Sign and date the form where indicated, affirming the accuracy of the provided information.
13. Keep a copy of the filled-out form for your records.
14. Submit the completed phs 416-1 rev 1005 form according to the instructions provided.

Who needs phs 416-1 rev 1005?

1. phs 416-1 rev 1005 is needed by individuals who are participating in or applying for certain public health programs or funding opportunities.
2. This form is typically required by governmental or public health organizations to assess the eligibility and qualifications of applicants.
3. Specific eligibility criteria and program requirements may vary, so it is advisable to consult the instructions or contact the relevant organization for precise information on who needs to fill out this form.

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What is phs 416-1 rev 1005?

phs 416-1 rev 1005 is a form used for reporting financial interests.

Who is required to file phs 416-1 rev 1005?

Researchers and individuals involved in federally funded research projects are required to file phs 416-1 rev 1005.

How to fill out phs 416-1 rev 1005?

phs 416-1 rev 1005 must be filled out with accurate and detailed information about financial interests related to research projects.

What is the purpose of phs 416-1 rev 1005?

The purpose of phs 416-1 rev 1005 is to disclose any potential financial conflicts of interest in federally funded research projects.

What information must be reported on phs 416-1 rev 1005?

Information such as sources of income, investments, and financial relationships that may pose a conflict of interest must be reported on phs 416-1 rev 1005.