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Loan Repayment Program

Reference Letter Submission

Submit New Letter

Identify the applicant for whom you wish to submit your reference letter by entering their Commons User ID in the box below.

Hint: You should have received the applicant's Commons ID in an email.

Replace a Previously Submitted Letter

Enter the confirmation number provided to you in the email you received when you submitted the letter for this
applicant, which you now want to replace.

Please upload your letter for

This Reference Letter is for

Submission Details

Public reporting for this collection of information is estimated to average 30 minutes, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a currently valid OMB control number. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, Attention: PRA 0925-0361. Do not return the completed form to this address.