PHS416-9 logo

U.S. Department of Health and Human Services
National Institutes of Health and
Agency for Healthcare Research and Quality

Ruth L. Kirschstein National Research Service Award
Individual Fellowship Progress Report
for Continuation Support
PHS 416-9 (Revised 8/2012)

All notable changes made to PHS 416-9 are listed at the bottom of this page (Updated 9/17/2012).

Downloadable Instructions and Form Files

Some of the MS Word and PDF files are large and may take a few minutes to download.

PHS 416-9 Instructions    
Instructions MS Word (253 KB) PDF (128 KB)

PHS 416-9 Fillable Forms

The links below allow for downloading of individual form files in MS Word and PDF formats. Please see the Adobe Acrobat or PDF Forms section of the "Help Downloading Files" page for information on using the fillable PDF forms.

Fillable Individual PHS 416-9 Forms    
Form Page 1 MS Word (74 KB) PDF (342 KB)
Project/Performance Site Format Page - use only if additional space is needed MS Word (92 KB) PDF (288 KB)
Form Page 2   MS Word (42 KB) PDF (279 KB)
Form Page 3 MS Word (38 KB) PDF (341 KB)
Targeted/Planned Enrollment Table Format Page MS Word (59 KB) PDF (86 KB)
Inclusion Enrollment Report Format Page MS Word (94 KB) PDF (100 KB)
Continuation Page MS Word (35 KB) PDF (214 KB)
Combined PHS 416-9 Forms File

Does NOT include the Continuation page. See Individual Form file links above.

Combined PHS 416-9 Form Files
(MS Word)
(239 KB)
Combined PHS 416-9 Form Files
(460 KB)

For Questions Related to:

Note: 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.

Disclaimer: 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.

Notable Changes Made to PHS 416-9

Go to NIH Forms and Applications Page