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Health
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Form |
Title |
Price in Word |
Buy Now in Word |
Health and Human Services (HHS) |
|||
HHS-568 |
Procedures for Submission of Final Invention Statement |
$9.99 |
|
HHS-687 |
Consent to Sterilization |
$9.99 |
|
HHS-687-1 |
Consent to Sterilization (Spanish Version) |
$9.99 |
|
HHS-690 |
Assurance of Compliance |
$9.99 |
|
HHS-719 |
Request for Copy of the Record(s) in the Case File |
$9.99 |
|
HHS-720 |
Request for Copy of Record(s): Third-Party with the Individual Appellant's Consent |
$9.99 |
|
HHS-721 |
Individual Appellant's Consent to Third-Party for Copies of the Individual Appellant's Record(s) |
$9.99 |
|
HHS-722 |
Request for Substitution of Party Upon Death of Party |
$9.99 |
|
HHS-723 |
Waiver of Right to an Administrative Law Judge (ALJ) Hearing |
$9.99 |
|
HHS-724 |
Request to Correct, Amend, or Delete a Record(s) |
$9.99 |
|
HHS-725 |
Request for Administrative Law Judge (ALJ) to Review Dismissal by the Qualified Independent Contractor |
$9.99 |
|
HHS-727 |
Extension Request to File a Request for an Administrative Law Judge (ALJ) Hearing |
$9.99 |
|
HHS-728 |
Filing of New Evidence |
$9.99 |
|
HHS-729 |
Response to Notice of Hearing |
$9.99 |
|
HHS-730 |
Withdrawal of Request for an Administrative Law Judge (ALJ) Hearing |
$9.99 |
|
HHS-731 |
Withdrawal of Waiver of Right to an Administrative Law Judge (ALJ) Hearing |
$9.99 |
|
HHS-733 |
Identity Verification |
$9.99 |
|
HHS-734 |
Payment Information Report |
$9.99 |
|
HHS-T-001 |
Response to Notice of Hearing |
$9.99 |
|
Public Health Service (PHS) |
|||
PHS-50 |
Application for Appointment as a Commissioned Officer in the US Public Health Service Commissioned Corps |
$9.99 |
|
PHS-398 |
Application for PHS Grant |
$9.99 |
|
PHS-416-1 |
Application for PHS Individual National Research Service Award |
$9.99 |
|
PHS-416-5 |
Research Fellowship Activation Notice |
$9.99 |
|
PHS-416-7 |
Termination Notice NRSA |
$9.99 |
|
PHS-416-9 |
Application for PHS Individual National Research Service Continuation Award |
$9.99 |
|
PHS-1813 |
Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps |
$9.99 |
|
PHS-2271 |
Statement of Appointment of Trainee |
$9.99 |
|
PHS-2590 |
Application for Continuation of a PHS Grant |
$9.99 |
|
PHS-3734 |
Official Statement Relinquishing Interest and Rights in a PHS Research Grant |
$9.99 |
|
PHS-3734 |
Grant Application for Non-Construction Projects |
$9.99 |
|
PHS-6031 |
National Research Service Award |
$9.99 |
|
PHS-6031-1 |
Annual National Research Service Award |
$9.99 |
|
PHS-6349 |
Annual Report on Possible Research Misconduct |
$9.99 |
|
Program Support Center (PSC) |
|||
PSC-270 |
Student Loan Repayment Plan (Program Support Center (PSC) and PSC-Serviced HHS Components) |
$9.99 |
|
Substance Abuse and Mental Health Services Administration (SAMHSA) |
|||
SMA-162 |
Application for Certification to Use Opioid Drugs in a Treatment Center |
$9.99 |
|
SMA-167 |
Notification of Intent to Use Opioid Drugs for Maintenance and Treatment |
$9.99 |
|
SMA-171 |
Prevention Registry |
$9.99 |
|
SMA-172 |
SAMHSA Application for Peer Grant Review |
$9.99 |
|
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