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Proposals — NIH Individual National Research Service Awards Checklist

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Ruth L. Kirschstein National Service Research Award
Individual Fellowship
New and Competing
Use PHS 416-1 forms and instructions revised 10/2005
Documents required, and the order in which they should be submitted:
SECTION 1 - Applicant

Face Page (Form Page 1)

  • A sample Face Page with UCD administrative information is available on the Grants and Contracts Sponsor Forms page.
  • Item 4b, eRA Commons User Name, is a required field. Please send requests for User Names to xenia@uchsc.edu

Sponsor/Co-Sponsor Contact Information and Description (Form Page 2)

Goals, Activities Planned, Training Sites, Human Embryonic Stem Cells (Form Page 3)

Table of Contents (Form Page 4)

Applicant/Fellow Biographical Sketch (Format Page)

  • Use this format for Pre- and Postdoctoral Fellowship applications. Senior Fellowship applicants should follow the traditional Biographical Sketch format.
  • May not exceed four pages including the information provided in the boxes, tables and charts on the form.

Previous Research Experience (Form Page 5)

Research Training Plan (No specific form page, use Continuation Pages)

Introduction:

  • Must be included for all revised (amended) applications
  • Limited to one page
  • Not included in the page limit for Research Training plan
  1. Specific Aims
  2. Background/Significance
  3. Preliminary Studies/Progress Report
  4. Research Design and Methods
  5. Human Subjects (if applicable)
  6. Vertebrate Animals (if applicable)
  7. Literature Cited
  8. Resource Sharing
  9. Respective Contributions
  10. Selection of Sponsor and Institution
  11. Responsible Conduct of Research

Targeted/Planned Enrollment Table (Format Page)

  • For new and continuing clinical research studies
  • Submit with Section E, Human Subjects, of the Research Training Plan
SECTION 2 - Sponsor's/Co-Sponsor's Information

Sponsor/Co-Sponsor Biographical Sketch (Format Page)

  • Maximum four pages in length, including the table at the top of the first page.
  • Do not include award amounts or effort in Research Support section.

Sponsor's and Co-Sponsor's Information (No specific form page, use Continuation Pages)

  • Research Support Available
  • Previous Trainees
  • Training Plan, Environment, Research Facilities
  • Number of Fellows/Trainees to Be Supervised
  • Applicant's Qualifications and Potential

Checklist Form Page

  • To be completed by Fellow/Applicant and Sponsoring Institution
SECTION 3

References

  • At least three completed, sealed references must be submitted.
  • Revised and competing continuation applications also must submit three references.

Other Items - Personal Data Form Page

SECTION 4

Appendix

  • Include five collate sets of all Appendix materials.
  • May be two-sided as appropriate.