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 Application
PHS 416-1 (Revised 1/2021)
All notable changes made to PHS 416-1 are listed at the bottom of this page (Updated 1/08/2021).
** PHS 416-1 IS TO BE USED ONLY FOR A CHANGE OF SPONSORING INSTITUTION APPLICATION **
COMPETING NEW, RENEWAL OR RESUBMISSION FELLOWSHIP APPLICATIONS MUST USE THE SF424 (R&R) FELLOWSHIP APPLICATION PACKAGE AND APPLICATION GUIDE FOR ELECTRONIC SUBMISSION VIA GRANTS.GOV. ANY NEW, RENEWAL OR RESUBMISSION APPLICATION SUBMITTED USING THE PHS 416-1 WILL BE RETURNED AND NOT REVIEWED.
Downloadable Instructions and Form Files
| Specific Instructions for a Change of Sponsoring Institution Application | PDF (43 KB) |
PHS 416-1 Fillable Forms
The links below allow for downloading of individual form files in MS Word and PDF formats.
| Fillable Individual PHS 416-1 Forms | ||
|---|---|---|
| Form Page 1: Face Page | MS Word (76 KB) | PDF (73 KB) |
| Form Page 2 Sponsor/Co-Sponsor Contact Information and Description | MS Word (56 KB) | PDF (31 KB) |
| Form Page 3: Goals, Activities Planned, Training Sites, Human Embryonic Stem Cells | MS Word (76 KB) | PDF (45 KB) |
| Project/Performance Site Format Page - use only if additional space is needed | MS Word (92 KB) | PDF (288 KB) |
| Form Page 4: Table of Contents | MS Word (83 KB) | PDF (98 KB) |
| Checklist Form Page | MS Word (58 KB) | PDF (272 KB) |
| Continuation Page | MS Word (35 KB) | PDF (214 KB) |
Biosketches: see Biosketch Format Pages, Instructions, and Samples
For Questions Related to:
- Application Procedures/Forms Submission: contact GrantsInfo at [email protected] or 301-945-7573.
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 416-1
- 1/08/2021
- Updated OMB clearance expiration dates on all forms.
- 1/25/2018
- Updated OMB clearance expiration dates on all forms.