On-line Survey for Early Indepenedence Principal Investigators

Process Evaluation of the NIH Director's Early Independence Award Program (EIA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0665 can be found here:

Documents and Forms

Document Name Document Type
Form Attachment 6.1 On-line Survey for Early Indepenedence Principal Investigators Form and Instruction
Attachment 6.1 Screen shots of Online Survey for EI-PI Attachment A.6.1 Screenshots Online Survey EIA Principal Investigator (Versions A & B).pdf Form and Instruction
Attachment A.6 - Online Survey EIA Principal Investigators (Versions A & B).doc Attachment 6: On-line EI-PI (paper version) IC Document
Attachment B.2.1 - Protocols Online Survey EIA Principal Investigator.doc On-line Survey Protocols IC Document

Information Collection (IC) Details

IC Title:	On-line Survey for Early Indepenedence Principal Investigators	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment 6.1	Screen shots of Online Survey for EI-PI	Attachment A.6.1 Screenshots Online Survey EIA Principal Investigator (Versions A & B).pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 6: On-line EI-PI (paper version)	Attachment A.6 - Online Survey EIA Principal Investigators (Versions A & B).doc	09/17/2012
On-line Survey Protocols	Attachment B.2.1 - Protocols Online Survey EIA Principal Investigator.doc	09/26/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.