Annual Payback Activities Certification (APAC)

Annual Payback Activities Certification (APAC)

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.

5Manage FellowshipFellowships and TrainingNoneMonday, June 1, 2015

Annual Payback Activities Certification (APAC) 

PDF icon phs6031-1.pdfFile phs6031-1.docxPHS 6031-1  Annual Payback Activities Certification instruction and form   (PDF, MS Word)There is no electronic system for submission of the Annual Payback Activities Certification. October, 2017

Termination Notice

Termination Notice

Used to document the termination of appointments to non-NRSA individual and institutional research training programs. The Termination Notice serves as the official record of your training.

3Manage FellowshipFellowships and TrainingNoneFriday, January 1, 2016

Termination Notice 

PDF icon phs416-7.pdfFile phs416-7.docxPHS 416-7  Termination Notice form and instruction (PDF, MS Word)
 The use of the eRA Commons xTrain system is mandatory to electronically prepare Termination Notices.  
Log onto the eRA Commons to access xTrain.August, 2017

Individual Fellowship Activation Notice

Individual Fellowship Activation Notice (PHS 416-5)

All fellows must complete this form for the first year of their fellowship, indicating their start date under the fellowship and other requested information.

2Manage FellowshipFellowships and TrainingNoneMonday, June 1, 2015

Individual Fellowship Activation Notice 

PDF icon phs416-5.pdfFile phs416-5.docxPHS 416-5  (PDF - 39 KB)     Individual Fellowship form and instructions (PDF, MS Word)
 There is no electronic submission system for fellowship activation notices.June, 2017

Statement of Appointment

Statement of Appointment

Use for each appointment of an individual as a trainee under a Kirschstein-NRSA or other institutional training grant.
Also use for appointments on career development awards.

1Manage FellowshipFellowships and TrainingNoneSaturday, February 13, 2016

Statement of Appointment 

PDF icon phs2271.pdfFile phs2271.docxPHS 2271Statement of Appointment form and instructions (PDF, MS Word)
 The use of the eRA Commons xTrain system is mandatory to electronically prepare and submit PHS 2271 Statement of Appointment forms.  
Log onto the eRA Commons to access xTrain. October, 2017

NIH Federal Financial Report Supplemental Instructions

NIH Federal Financial Report Supplemental Instructions

NIH’s Federal Financial Report Supplemental Instructions provide
NIH grantees with instructions they should follow in conjunction with the standard FFR Instructions

2Report on a Grant AwardFederal Financial Report (FFR)Saturday, October 1, 2011

NIH Federal Financial Report Supplemental Instructions

Microsoft Office document icon ffr_supplemental_inst.doc

Federal Financial Report

Federal Financial Report

Form used to submit financial information about individual grant awards. Report the cash transaction data (items 10a-c) on a quarterly basis directly to the Payment Management System (PMS).

1Report on a Grant AwardPost AwardsNoneFederal Financial Report (FFR)Saturday, October 1, 2011

Federal Financial Report 

PDF icon SF-425.pdfFFR instructions (PDF) should be used in combination with the NIH Federal Financial Report supplemental instructions (MS WORD).SF 425Report the FFR expenditure data (items 10d-13e) via the eRA Commons FFR/FSR module. You need to have the FSR role in eRA Commons to access the module.  
See the eRA Submit Federal Financial Report page for details
Guide notices announcing use of FFR: NOT-OD-10-038 and NOT-OD-11-017.August, 2017

Final Invention Statement

Final Invention Statement

Instructions and form for submitting the Financial Invention Statement.Final Invention Statements must be submitted electronically through the eRA Commons. Although a principal investigator can created the Final Invention Statement, only a signing official can submit it to the agency.

1Report on a Grant AwardPost AwardsNoneInvention ReportsTuesday, June 30, 2015

Final Invention Statement

PDF icon hhs568.pdfFile hhs568.docxPDFWord  HHS 568  Use form in eRA Commons. View of form fields available with instructions. 
 Final Invention Statements must be submitted electronically through the eRA Commons. Although a principal investigator can created the Final Invention Statement, only a signing official can submit it to the agency.
Learn more about submitting your Final Invention Statement through the eRA Commons.October, 2017

Final Progress Report

Final Progress Report

The Final Progress Report is used only for small business grant awards, as of January 2017.

2Report on a Grant AwardProgress ReportsNoneProgress ReportsFinal Progress ReportsThursday, June 25, 2015PDF icon finalprogressreport.pdf

Final Progress Report Instructions

The Final Progress Report is used only for small business grant awards, as of January 2017. 

Final Progress Report Instructions  (PDF)Submit final progress report electronically through the eRA CommonsMarch, 2017

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