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  4. Annual Payback Activities Certification (APAC)

Annual Payback Activities Certification (APAC)

Form Number

PHS 6031-1

Description

The Annual Payback Activities Certification form is the formal communication between former Kirschstein-NRSA recipients and the PHS regarding the status of payback activities.

The certification form must be signed and returned to the NRSA Payback Service center. See form instruction for details.

How to Access

There is no electronic system for submission of the Annual Payback Activities Certification. 

NIH Grants Policy Statement, Section 11.4.4 Certification of Payback Activities

Instructions

annual payback intructions and form pdf
Annual Payback Activities Certification instruction and form
Annual Payback Activities Certification instruction and form

Updated Date
July 2023

This page last updated on: April 25, 2024

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