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The document outlines the payback agreement for recipients of the Ruth L. Kirschstein National Research Service Award (NRSA), detailing service requirements and financial obligations for postdoctoral trainees. It specifies that postdoctoral recipients must fulfill a payback obligation during their first 12 months of support, which can be satisfied through health-related research, training, or teaching. The document also includes provisions for waivers, breaks in service, and conditions under which obligations may be canceled or extended.

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