SCIENTIFIC MERIT REVIEW BOARD SUMMARY STATEMENT

1. HEALTH CARE FACILITY/NO.2. LOCATION OF HEALTH CARE FACILITY3. PRINCIPAL INVESTIGATOR(S), DEGREE

4. SOCIAL SECURITY NUMBER5. VA TITLE6. MERIT REVIEW DATE

7. PROJECT NUMBER/TITLE

10. TYPE OF PROJECT (Mark only one)

8. AMOUNT REQUESTED EACH YEAR (PROGRAM )

1ST2ND3RDTOTAL

9A. VA SALARY SOURCE (Mark only one)

9. VA EMPLOYMENT STATUS (Mark only one)

FULL -TIMEREHAB R&DNEW

OTHER

OTHER

12. PRIMARY RESEARCH PRIORITY AREA

13. DEPARTMENT, LABORATORY, ETC. IN WHICH APPOINTMENT IS HELD

14. NAME OF ACADEMIC AFFILIATION AND TITLE OF MAJOR FACULTY APPOINTMENT

MONTHYEAR

YEARTOTAL

VAFORM

OCT 1987

REHABILITATION RESEARCH AND DEVELOPMENT SERVICE

1ST