Form 0524-New VMLRP Employer Survery

OMB No. 0524-NEW
Form Approved For Use Through TBD

VMLRP- EMPLOYER SURVEY
The purpose of these questions is to provide you an opportunity to formally provide feedback to VMLRP
about your employee and the shortage situation being served. The information you provide will help
with continuous improvement and evaluation of the VMLRP and enable us to provide information to
congress and stakeholders about the impact the VMLRP service awards. The information you provide in
this report will be reported in aggregate such that your individual responses will remain anonymous.
Any information about the shortage situation will be shared with State Animal Health Officials and any
personally identifiable information will be removed. NIFA staff may contact you if any of your responses
require clarification. The survey contains 4 questions. It should take 15 minutes to complete the survey.
Thank you for your time and participation – VMLRP Staff

PARTICIPANT NAME:____________________________________________
SHORTAGE ID (if known):_________________________________________

DATE___________

1. Are more veterinarians needed to help support the current needs in the shortage situation filled by
the participant?

Please explain why?

2. Do you anticipate this need changing in the next 3-5 years?

Please explain why?

VMLRP- EMPLOYER SURVEY
3. What impact(s) did the VMLRP participant you employ have on this shortage situation?

4. Please use the space below to provide any additional comments or feedback to the VMLRP.
Information about any problems you encountered and possible solutions are always welcome.

Public reporting for collection of information is estimated to average 15 minutes, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the date 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 current valid OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden to NIFA, OEP, 800 9th St. SW, Washington, DC
20024, Attention Policy Section. Do not return the completed form to this address.
OMB No. 0524-NEW