Form 1 survey

NIH Office of Intramural Training & Education Application (OD)

Attach 1 - Data collection instruments[1]

NIH Intramural Research Training Award, Program Application (Race/Gender)

OMB: 0925-0299

Document [pdf]
Download: pdf | pdf
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--------http://www.training.nih.gov/documents/prjvacy.htm

National Institutes of Health - Privacy Act Notification Statement

Research and Training Opportunities at the National Institutes of Health
u,s_ DEPARTMENT OF HEAlTH AND HUMAfti SERViCES

Privacy Act Notification Statement
Collection of this information is authorized under 42 U.S.C. 282(b)(13), 284(b)(1 )(C), 241, 2421,
282(b)(10), 284(b)(1)(K), 42 CFR Part 63, and 42 CFR Part 61, SUbpart A. The primary use
of this information is to evaluate your qualifications for research training at the National
Institutes of Health. Additional disclosures may be made to law enforcement agencies
concerning violations of law or regulation. Application for this program is voluntary; however, in
order for us to process your application, you must complete the required fields.

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