EXTRAMURAL LOAN REPAYMENT PROGRAM FOR CLINICAL RESEARCHERS

RELEASE DATE:  August 23, 2004

NOTICE:  NOT-OD-04-060

National Institutes of Health (NIH)

APPLICATION PERIOD:  September 1, 2004, through 5 PM EST, December 15, 2004

THIS NOTICE ADDRESSES THE FOLLOWING TOPICS:
o  Purpose of this Notice
o  Where to Obtain Additional Information
o  Program Objectives
o  Funds Available
o  Award Criteria
o  Eligible Applicants
o  Receipt, Peer Review, and Review Schedule
o  Application Materials (New and Renewal Applications)
o  Renewal Applications
o  Program Administration and Details
o  Required Federal Citations

PURPOSE OF THIS NOTICE

The National Institutes of Health (NIH) announces the availability of 
educational loan repayment under the NIH Extramural Loan Repayment Program 
for Clinical Researchers (LRP-CR).  The Loan Repayment Program for Clinical 
Researchers provides for the repayment of up to $35,000 of the principal and 
interest of the extant educational loans of such health professionals for 
each year of obligated service.  Payments equal to 39 percent of total loan 
repayments are issued to the Internal Revenue Service on behalf of program 
participants to offset Federal tax liabilities incurred.  

The purpose of the Loan Repayment Program for Clinical Researchers is the 
recruitment and retention of highly qualified health professionals as 
clinical investigators.  Through this notice, the NIH invites qualified 
health professionals who contractually agree to engage in clinical research 
for at least two years, and who agree to engage in such research for at least 
50 percent of their time, i.e., not less than 20 hours per week, to apply for 
participation in the NIH Loan Repayment Program for Clinical Researchers. 

LRP-CR applications will be accepted September 1 through December 15, 2004. 
They must be submitted via the NIH Loan Repayment Website, http://www.lrp.nih.gov.

WHERE TO OBTAIN ADDITIONAL INFORMATION

For questions on the LRP-CR program, please see the LRP website at 
http://www.lrp.nih.gov, send an email to lrp@nih.gov, or call the LRP 
helpline at (866) 849-4047.

Direct your remaining questions regarding your research project to the 
relevant NIH scientific program contact listed on the LRP website at 
http://www.lrp.nih.gov/contact/index.htm.

PROGRAM OBJECTIVES

The objective of the program is to recruit and retain highly qualified health 
professionals as clinical investigators.   

NIH defines clinical research as “patient-oriented clinical research 
conducted with human subjects, or research on the causes and consequences of 
disease in human populations involving material of human origin (such as 
tissue specimens and cognitive phenomena) for which an investigator or 
colleague directly interacts with human subjects in an outpatient or 
inpatient setting to clarify a problem in human physiology, pathophysiology 
or disease, or epidemiological or behavioral studies, outcomes research or 
health services research, or developing new technologies, therapeutic 
interventions, or clinical trials."

FUNDS AVAILABLE

The NIH intends to commit $43 million in Fiscal Year 2005 to fund 
approximately 750 LRP-CR individuals. 

AWARD CRITERIA 

Applications for the LRP-CR are evaluated against the following components as 
they relate to the likelihood that the applicant will continue in a clinical 
research career:

a.  Potential of the applicant to pursue a career in clinical research.  
    o Appropriateness of the applicant’s previous training and experience to   
prepare him/her for a clinical research career.
    o Suitability of the applicant’s proposed clinical research activities in 
the two-year loan repayment period to foster a research career.  
    o Assessment of the applicant’s commitment to a research career as 
reflected by the personal statement of long-term career goals and the plan 
outlined to achieve those goals.
    o Strength of recommendations attesting to the applicant’s potential for 
a research career.

b.  Quality of the overall environment to prepare the applicant for a 
clinical research career.
    o Availability of appropriate scientific colleagues to achieve and/or 
enhance the applicant’s research independence.
    o Quality and appropriateness of institutional resources and facilities.

Renewal applications are competitive and are evaluated using the same 
criteria as new applications plus two additional criteria - an assessment of 
research accomplishments and development of an individual as an independent 
investigator.

ELIGIBLE APPLICANTS

Specific eligibility criteria with regard to participation in the Loan 
Repayment Program for Clinical Researchers include the following:

1.  Applicants must be a U.S. citizen, U.S. national, or permanent resident 
of the United States; 

2.  Applicants must have a M.D., Ph.D., Pharm. D., Psy.D., D.O., D.D.S., 
D.M.D., D.P.M., D.C., N.D., or equivalent doctoral degree from an accredited 
institution;

3.  Applicants must have total qualifying educational loan debt equal to or 
in excess of 20 percent of their institutional base salary on the date of 
program eligibility (the effective date that a loan repayment contract has 
been executed by the Secretary of Health and Human Services or designee), 
expected to be between July 1 and September 1, 2005.  Institutional base 
salary is the annual amount that the organization pays for the participant’s 
appointment, whether the time is spent in research, teaching, patient care, 
or other activities.  Institutional base salary excludes any income that a 
participant may earn outside the duties of the organization.  Institutional 
base salary may not include or comprise any income (salary or wages) earned 
as a Federal employee;

4.  Applicants must conduct qualifying research supported by a domestic non-
profit foundation, non-profit professional association, or other non-profit 
institution, or a U.S. or other government agency (Federal, State, or local).  
A domestic foundation, professional association, or institution is considered 
to be non-profit if exempt from Federal tax under the provisions of Section 
501 of the Internal Revenue Code (26 U.S.C. 501);     

5.  Applicants must engage in qualified clinical research.  Clinical research 
is defined as patient-oriented clinical research conducted with human 
subjects or research on the causes and consequences of disease in human 
populations involving material of human origin (such as tissue specimens and 
cognitive phenomena) for which an investigator or colleague directly 
interacts with human subjects in an outpatient or inpatient setting to 
clarify a problem in human physiology, pathophysiology or disease, or 
epidemiologic or behavioral studies, outcomes research or health services 
research, or developing new technologies, therapeutic interventions, or 
clinical trials;

6.  Applicants must engage in qualified clinical research for at least 50 
percent of their time, i.e., not less than 20 hours per week based on a 40 
hour week;

7.  Full-time employees of Federal Government agencies are ineligible to 
apply for LRP benefits.  Part-time Federal employees who engage in qualifying 
research as part of their non-Federal duties for at least 20 hours per week, 
and whose funding source is from a domestic non-profit source as defined in 
number 4 of this section, are eligible to apply for loan repayment if they 
meet all other eligibility requirements;

8.  Applicants must agree to conduct research for which funding is not 
prohibited by Federal law, regulation, or HHS/NIH policy.  Recipients who 
receive LRP awards must conduct their research in accordance with applicable 
Federal, State and local law (e.g., applicable human subject protection 
regulations);       

9.  Applicants will not be excluded from consideration under the Loan 
Repayment Program for Clinical Researchers on the basis of age, race, 
culture, religion, gender, sexual orientation, disability, or other non-merit 
factors; and

10.  No individual may submit more than one LRP application to the NIH in any 
fiscal year.  Individuals who have applied previously for the LRP-CR but did 
not receive an award are eligible to submit a new application if they meet 
all of the above eligibility criteria.
         
The following individuals are ineligible for participation in the Loan 
Repayment Program for Clinical Researchers:
         
1.  Persons who are not United States citizens, nationals, or permanent 
residents;

2.  Any individual who has a Federal judgment lien against his/her property 
arising from a Federal debt is barred from receiving Federal funds until the 
judgment is paid in full or satisfied; 

3.  Any individual who owes an obligation of health professional service to 
the Federal Government, a State, or other entity, unless deferrals or 
extensions are granted for the length of their Extramural Loan Repayment 
Program service obligation.  The following are examples of programs with 
service obligations that disqualify an applicant from consideration, unless a 
deferral for the length of participation in the Loan Repayment Program for 
Clinical Researchers is obtained: 
      Armed Forces (Army, Navy, or Air Force) Professions 
         Scholarship Program,
      Exceptional Financial Need (EFN) Scholarship Program,
      Financial Assistance for Disadvantaged Health 
         Professions Students (FADHPS),
      Indian Health Service (IHS) Scholarship Program, 
      National Health Service Corps (NHSC) Scholarship Program,  
      National Institutes of Health Undergraduate Scholarship Program 
                        (UGSP),
           Physicians Shortage Area Scholarship Program, 
      Primary Care Loan (PCL) Program, 
      Public Health Service (PHS) Scholarship Program, and
                National Research Service Award (NRSA) Program;

4.  Full-time employees of Federal Government agencies.  Part-time Federal 
employees who engage in qualifying research supported by a domestic non-
profit institution, as part of their non-Federal duties, for an outside 
entity for at least 20 hours per week, based on a 40 hour week, are eligible 
to apply for the LRP-CR if they meet all other eligibility requirements;

5.  Current recipients of NIH Intramural Research Training Awards (IRTA) or 
Cancer Research Training Awards (CRTA); 

6.  Individuals conducting research for which funding is precluded by Federal 
law, regulations or HHS/NIH policy, or that does not comply with applicable 
Federal, State, and local law regarding the conduct of the research (e.g., 
applicable human subject protection regulations); and

7.  Individuals with ineligible loans, which include loans that have been 
consolidated with a loan of another individual (including spouses or 
children), or loans that are not educational, such as home equity loans.

RECEIPT, PEER REVIEW, AND REVIEW SCHEDULE

Upon receipt, applications for both initial and renewal awards will be 
reviewed for eligibility and completeness by the NIH Loan Repayment Program.  
Incomplete or ineligible applications will not be considered.  Applications 
that are complete and eligible will be forwarded to the NIH Center for 
Scientific Review (CSR), which will assign the application to an NIH 
Institute or Center for peer review.  

Application Receipt Date:     December 15, 2004, 5 P.M. EST
Peer Review Date:             March-May, 2005
Anticipated Award Date:       June-August, 2005

APPLICATION MATERIALS (New and Renewal Applicants)

The following information is furnished by applicants or others on behalf of 
applicants (forms are completed electronically at the NIH LRP Web-site, 
http://www.lrp.nih.gov), and must be submitted from September 1, 2004, through 
December 15, 2004 at 5 PM EST:

Applicants electronically transmit the following to the NIH Office of Loan 
Repayment:

1.   Applicant information statement.
2.   Biosketch.
3.   Personal statement, which includes a discussion of career goals and 
academic objectives.
4.   Description of research activities, which describes the current or 
proposed research project including the specific responsibilities 
and role of the applicant in conducting the research.  The research 
supervisor or mentor will be asked to concur.  
5.   Identification of three recommenders (including research supervisor 
or mentor).
6.   Identification of institutional contact.
7.   On-line certification.
8.   Loan information, including current account statement(s), and 
promissory note(s) or disclosure statement(s), obtained from lending 
institution(s), submitted via facsimile to 866-849-4046.
9.   If applying based on NIH support, Notice of Grant/Award (or PHS Form 
2271 for Ruth L. Kirschstein NRSA training fellowships).

Research supervisors or mentors electronically transmit the following to the 
NIH Office of Loan Repayment:

1.   Recommendation.
2.   Biosketch.
3.   Assessment of the research activities statement submitted by the 
applicant.
4.   Description of the research environment, which provides detailed 
information about the lab where the applicant is or will be 
conducting research, including funding, lab space, and major areas 
under investigation.  
5.   Training or mentoring plan, which includes a detailed discussion of 
the training or mentoring plan, including a discussion of the 
research methods and scientific techniques to be taught.  

Recommenders electronically transmit recommendation forms to the NIH Office 
of Loan Repayment.  

Institutional contacts electronically transmit a certification to the NIH 
Office of Loan Repayment that:

(a) assures the applicant will be provided the necessary time and 
resources to engage in the research project for two years from the 
date a Loan Repayment Program contract is executed; 
(b) assures the applicant is or will be engaged in qualifying research 
for 50 percent of their work effort or not less than 20 hours per 
week based upon a 40 hour week; 
(c) certifies the sponsoring entity is a domestic non-profit 
institution (exempt from tax under 26 USC 501); and 
(d) identifies the applicant’s institutional base salary.    

RENEWAL APPLICATIONS

Recipients who wish to extend their NIH loan repayment should reapply during 
the 2005 application cycle if their initial LRP contract began in 2003.

LRP renewal contracts are available for one- and two-year periods and are 
based upon the same criteria as the initial application plus two additional 
criteria - an assessment of research accomplishments and development of an 
individual as an independent investigator.  An explanation of research 
accomplishments during the initial award period is required.  Progress toward 
development as an independent investigator is a major factor in awarding 
renewal of loan repayment support.  Renewal LRP awards are competitive and 
submission of a renewal application does not assure the award of loan 
repayment.  

PROGRAM ADMINISTRATION AND DETAILS

Under the Loan Repayment Program for Clinical Researchers, the NIH will repay 
a portion of the extant qualified educational loan debt incurred to pay for 
the researcher’s undergraduate, graduate, and/or health professional school 
educational expenses.  Individuals must have total qualified educational debt 
that equals or exceeds 20 percent of their institutional base salary on the 
date of program eligibility.  This is called the debt threshold.  The formula 
used to calculate the potential annual loan repayment amount is total 
educational debt less the participant obligation (an amount equal to 10 
percent of institutional base salary), which yields the total repayable debt; 
the total repayable debt is divided by 25 percent, which yields the potential 
annual repayment amount (up to $35,000).   Participants are encouraged to pay 
the participant obligation during the contract period.  
         
Following is an example of loan repayment calculations:  An applicant has a 
loan debt of $100,000 and a university compensation of $40,000.  Since the 
loan debt exceeds the debt threshold (20 percent of university compensation = 
$8,000), the applicant has sufficient debt for loan repayment consideration.  
The participant obligation is 10 percent of the institutional base salary, in 
this case $4,000.  Thus, repayment of the $4,000 debt is the applicant’s 
responsibility.  The remaining amount, in this example $96,000 (total 
repayable debt) will be considered for repayment on a graduated basis.   In 
this case, the maximum to be repaid in the initial two-year contract is 
$48,000 or $24,000 per year, plus tax reimbursement benefits.  
         
The total repayable debt will be paid at the rate of one-quarter per year, 
subject to a statutory limit of $35,000 per year, for each year of obligated 
service.  Individuals are required to initially engage in 2 years of 
qualified clinical research.  
         
The NIH will repay lenders for the extant principal, interest, and related 
expenses (such as the required insurance premiums on the unpaid balances of 
some loans) of educational loans from a U.S. government entity, academic 
institution, or a commercial or other chartered U.S. lending institution, 
such as banks, credit unions, savings and loan associations, not-for-profit 
organizations, insurance companies, and other financial or credit 
institutions which are subject to examination and supervision in their 
capacity as lending institutions by an agency of the United States or of the 
State in which the lender has its principal place of business, obtained by 
participants for the following:

         (1)   Undergraduate, graduate, and health professional school tuition 
expenses;
   
         (2)   Other reasonable educational expenses required by the school(s) 
attended, including fees, books, supplies, educational equipment and 
materials, and laboratory expenses; and
   
         (3)   Reasonable living expenses, including the cost of room and board, 
transportation and commuting costs, and other living expenses as determined 
by the Secretary.

Repayments are made directly to lenders, following receipt of (1) the 
Principal Investigator, Program Director, or Research Supervisor's 
verification of completion of the prior period of research, and (2) lender 
verification of the crediting of prior loan repayments, including the 
resulting account balances and current account status.  The NIH will repay 
loans in the following order, unless the Secretary determines that 
significant savings would result from a different order of priority:

(1)   Loans guaranteed by the U.S. Department of Health and Human 
Services:
o  Health Education Assistance Loan (HEAL);
o  Health Professions Student Loan (HPSL);
o  Loans for Disadvantaged Students (LDS); and
o  Nursing Student Loan Program (NSL);

(2)   Loans guaranteed by the U.S. Department of Education:
o  Direct Subsidized Stafford Loan;
o  Direct Unsubsidized Stafford Loan; 
o  Direct Consolidation Loan;
o  Perkins Loan;
o  FFEL Subsidized Stafford Loan;
o  FFEL Unsubsidized Stafford Loan; and
o  FFEL Consolidation Loan;

(3)   Loans made or guaranteed by a State, the District of 
Columbia, the Commonwealth of Puerto Rico, or a territory 
or possession of the United States;

(4)   Loans made by academic institutions; and

(5)   Private ("Alternative") Educational Loans:
o  MEDLOANS; and
o  Private (non-guaranteed) Consolidation Loans.

The following loans are NOT repayable under the Loan Repayment Program for 
Clinical Researchers:
         
         (1)   Loans not obtained from a U.S. or other government entity, 
academic institution, or a commercial or other chartered U.S. lending 
institution such as loans from friends, relatives, or other individuals, and 
non-educational loans, such as home equity loans;

         (2)   Loans for which contemporaneous documentation (current account 
statement, and promissory note or lender disclosure statement) is not 
available;

(3)   Loans that have been consolidated with loans of other 
individuals, such as a spouse or child;

         (4)   Loans or portions of loans obtained for educational or living 
expenses, which exceed a reasonable level, as determined by the standard 
school budget for the year in which the loan was made, and are not determined 
by the LRP to be reasonable based on additional contemporaneous documentation 
provided by the applicant;
         
         (5)   Loans, financial debts, or service obligations incurred under the 
following programs, or other programs that incur a service obligation that 
converts to a loan on failure to satisfy the service obligation:
o  Armed Forces (Army, Navy, or Air Force) Health Professions 
Scholarship Program;
o  Indian Health Service (IHS) Scholarship Program;
o  National Institutes of Health Undergraduate Scholarship 
Program (UGSP);
o  National Research Service Award (NRSA) Program;
o  Physicians Shortage Area Scholarship Program (Federal or 
State); 
o  Primary Care Loan (PCL) Program; and
o  Public Health Service (PHS) and National Health Service Corps 
(NHSC) Scholarship Program;
         
         (6)   Delinquent loans, loans in default, or loans not current in their 
payment schedule; 
         
         (7)   PLUS Loans;
         
         (8)    Loans that have been paid in full; and
         
         (9)   Loans obtained after the execution of the NIH Loan Repayment 
Program Contract (e.g., promissory note signed after the LRP contract has 
been awarded) (this provision does not apply to qualifying loan 
consolidations).
         
Before the commencement of loan repayment, or during lapses in loan 
repayments, due to NIH administrative complications, Leave Without Pay 
(LWOP), or a break in service, LRP participants are wholly responsible for 
making payments or other arrangements that maintain loans current, such that 
increases in either principal or interest do not occur.  The LRP contract 
period will not be modified or extended as a result of Leave Without Pay 
(LWOP) or a break in service.  Penalties assessed participants as a result of 
NIH administrative complications to maintain a current payment status may not 
be considered for reimbursement.
         
LRP payments are NOT retroactive.  Loan repayment for Fiscal Year 2005 will 
commence after a loan repayment contract has been executed, which is expected 
to be no earlier than July 2005.  

CITATIONS OF FEDERAL AUTHORITY

Awards are made pursuant to the Public Health Improvement Act of November 
2000 (Public Law 106-505), also known as the Clinical Research Enhancement 
Act, which added Section 487F of the Public Health Service (PHS) Act (42 
U.S.C. 288-5a) [So in law.  There are two sections 487F.  Section 205 of 
Public Law 106-505 (114 Stat. 2329), inserted  section 487F after section 
487E.  Previously, section 1002(b) of Public Law 106-310 (114 Stat. 1129), 
which relates to a Pediatric Research Loan Repayment Program, inserted 
section 487F after section 487E.]  The Federal Debt Collection Procedures Act 
of 1990, contained in Public Law 101-647, requires that an individual that 
has a judgment lien against his/her property for a debt to the United States 
shall not be eligible to receive funds directly from the Federal government 
in any program, except funds to which the debtor is entitled as a 
beneficiary, until the judgment is paid in full or otherwise satisfied (28 
USC 3201).  The Catalog of Federal Domestic Assistance number for the LRP for 
Clinical Researchers is 93.280.


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