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Form Number
PHS 6031
Description
To be completed by trainees and fellows in their first 12 months of post-doctoral support.
How to Access
There is no electronic system for submission of the Payback Agreement.
Instructions
Form Expiration Date
NIH will be updating this form to reflect its approval renewal from OMB. In the meantime, continue to use the posted version.
NIH will be updating this form to reflect its approval renewal from OMB. In the meantime, continue to use the posted version.
Payback Agreement instructions and form (DOCX, 35 KB)
Payback Agreement instructions and form (PDF, 158 KB)