DLR generic_clearance_form[1]

DLR generic_clearance_form[1].doc

GENERIC CLEARANCE FOR SURVEYS OF THE OFFICE OF EXTRAMURAL RESEARCH (OD)

DLR generic_clearance_form[1]

OMB: 0925-0627

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SUBMISSION OF INFORMATION COLLECTION

UNDER GENERIC CLEARANCES



DATE OF REQUEST: ___2/22/2013


SUB AGENCY (I/C): _____Office of the Director/Office of Extramural Research/Office of Extramural Programs/Division of Loan Repayment


TITLE: _Survey of Loan Repayment Program Participants


GENERIC CLEARANCE UNDER OMB# ­_0925-0627___________ EXP. DATE: ___2/28/2014


ABSTRACT:

The Division of Loan Repayment is proposing to conduct a follow-up survey of Loan Repayment Program (LRP) participants who went through our program from 2004-present. It is anticipated that 1,800 subjects will complete the survey online, and potential subjects will be chosen in order to represent the heterogeneity of demographic characteristics of our LRP participants. The survey will ask participants about their career status and experiences in the LRP. Information from the survey will be used to help us improve and refine our interactions with, and responsiveness to, our customers; refocus the strategies that are used to accomplish our objectives; and identify areas in need of improvement and enhancement.















TOTAL ANNUAL BURDEN APPROVED: 24,550


BURDEN USED TO DATE: 2,368


BURDEN THIS REQUEST: 600


IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?

______YES ______NO__X____N/A (DLR has already collected this information)


OBLIGATION TO RESPOND:


__X___ VOLUNTARY


______ REQUIRED TO OBTAIN OR RETAIN BENEFITS


______ MANDATORY


HOW WILL THIS SURVEY BE OFFERED?


__X__ WEB SITE


_____ TELEPHONE INTERVIEW


_____ MAIL RESPONSE


_____ IN PERSON INTERVIEW


_____ OTHER: ___________________________________


CONTACT INFORMATION:


NAME: __Jill Mattia, PhD

TELEPHONE NUMBER: ___301-435-6072

EMAIL ADDRESS: __jill.mattia@nih.gov

File Typeapplication/msword
File TitleGeneric Clearance Form - 04/28/2008
SubjectGeneric Clearance Form - 04/28/2008
AuthorOD/USER
Last Modified Bycurriem
File Modified2013-02-27
File Created2013-02-27

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