Get Hhs Phs 2271 2020-2025

The HHS PHS 2271 form is essential for appointing individuals to training and research programs within the Public Health Service. This guide provides user-friendly and detailed instructions for completing the form online.

Follow the steps to effectively complete the HHS PHS 2271 form online.

1. Click ‘Get Form’ button to access the PHS 2271 form and open it in your online editor.
2. Enter the PHS Grant Number in Item 1, ensuring you provide the complete grant number as per your Notice of Grant Award.
3. In Item 2, fill in the name of the Trainee, Scholar, or Participant by providing the last name, first name, and initials.
4. For Item 3, select the sex of the individual by checking the appropriate box.
5. In Item 4, select the type of action: New Appointment, Reappointment, or Amendment, depending on the situation.
6. Provide information about any prior NRSA Support in Item 5, indicating yes or no as necessary.
7. Input the last four digits of the Social Security Number in Item 6. This information is voluntary but helps in accurate identification.
8. In Item 7, enter the birthdate of the individual in the specified format.
9. For Item 8, indicate the individual’s citizenship status by checking the appropriate box and providing details if applicable.
10. Fill in the permanent mailing address in Item 10, ensuring it is an address that can be reached post-appointment.
11. If applicable, provide the ORCID ID in Item 9. This allows for linking to the individual's professional profile.
12. Complete Items 11-14, which gather demographic information for statistical purposes. Responding is encouraged but optional.
13. In Item 15, specify the Field of Research Training or Career Development by entering the appropriate code.
14. For Item 16, clearly state the period of appointment, ensuring it meets the minimum requirement of 8 weeks.
15. Indicate the education and career level of the appointee in Item 17 by checking the appropriate box.
16. List all degrees earned in Item 18, providing the institution name, degree, and major/minor fields.
17. In Item 19, specify the degrees sought and if in a dual-degree program.
18. Provide the expected completion date for each degree in Item 20.
19. Select applicable specialty boards in Item 21 if relevant.
20. Indicate expected support during the appointment period in Item 22, ensuring the total reflects the grant support.
21. Complete Item 23 regarding delinquency on U.S. Federal Debt and provide an explanation if necessary.
22. The appointee must sign and date Item 24, certifying their statements are true.
23. The Program Director must sign and date Item 25, confirming the individual’s qualification for the program.
24. Once all fields are filled out correctly, users can save changes, download, print, or share the completed form.

Begin filling out your HHS PHS 2271 form online today to ensure timely processing of your appointment.