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Department of Health and Human Services Public Health Service Commissioned Corps PHS-1373 Rev. 9/05 DATE RECEIVED IN DCCA /OCCO SEPARATION OF COMMISSIONED OFFICER See page 3 for Instructions and Privacy Act Notice THIS FORM MUST BE RECEIVED IN DCCA/OCCO 30 DAYS PRIOR TO LAST DAY OFFICER IS PHYSICALLY AT HIS/HER DUTY STATION PART A. Special Pay comments Training Obligation Scholarship Obligation USUHS Obligation SPECIAL PAYS Signature HR Specialist -- Division of Commissioned Corps Assignments / ...

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What is an assignment request form?

It is used specifically to convey additional, optional information about your preference(s) for assignment and review of your application to DRR and SROs.

What is PHS assignment form?

Use the optional PHS Assignment Request Form to list expertise needed to review your application, exclude reviewers, and request an institute assignment. For investigator-initiated R01, R21, and R03 applications, we also advise you to request assignment to the most appropriate study section of reviewers.

What is PHS in clinical research?

The Public Health Service (PHS) Human Subjects and Clinical Trials form is required for most National Institutes of Health (NIH) applications.

What is PHS in NIH?

PHS Human Subjects and Clinical Trials. Information. The PHS Human Subjects and Clinical Trials Information form is used to collect information on human subjects research, clinical research, and/or clinical trials, including study population characteristics, protection and monitoring plans, and a protocol synopsis.

What is PHS in NIH?

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