Download:
pdf |
pdfSurvey Questions for SBIR
Pursuant to 5 CFR 1320.5(b), an agency may not conduct or sponsor, and a person is not required to respond to an information collection unless it displays a valid OMB control number. The OMB
control number for this collection is 3145-0238. Public reporting burden for this collection of information is estimated to average 1.5 hours per response, including the time for reviewing
instructions. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing this burden, to: Suzanne Plimpton, Reports
Clearance Officer, Office of the General Counsel, National Science Foundation, 2415 Eisenhower Ave., Alexandria, VA 22314.
ID #
1
2
3
Logic
Item
Only
asked if
member
of
project
team.
Only
asked if
member
of
project
team and
not still
involved
in
project.
Only
asked if
member
of
project
team and
still
involved
in
project.
Are you still involved in
this project?
Freq.
Response Scale
Y/N
Variable
type/Dat
a entry
format
Question
Item Source
Material
Outputs or
Outcomes
Addressed
Binary
I-Corps
Indicators &
Monitoring
System2
N/A
(Demographics)
Who is the
corresponding contact
on this project effort
right now?
A. Principal Investigator
B. Entrepreneurial Lead
C. Mentor
Multiple
Choice
I-Corps
Indicators &
Monitoring
System2
N/A
(Demographics)
Are you continuing in
this line of research or
project effort?
A. Yes
B. No
C. I don’t know
Multiple
choice
I-Corps
Indicators &
Monitoring
System2
N/A
(Demographics)
4
Only
asked if
member
of
project
team and
project is
not
active.
(INNOVATION
PROJECTS) What was
the main reason that
you have NOT continued
this line of
research/project?
5
Only
asked if
member
of
project
team and
project is
not
active.
(RESEARCH PROJECTS)
What was the main
reason this project
ended?
A. We did not identify a large
Multiple
enough market for our
Answers,
product/technology
with text
box to
B. The time to get the technology
describe
into market was too great
C. We encountered difficulties with “other”
our technology itself
D. We failed to obtain needed
financing/ investment to
continue
E. Key personnel left company
F. Estimated costs too high
G. Patent Problems
H. Technology obsolete
I. Market needs changed
J. Costs too high (not competitive in
market place
K. Business segment in recession
L. Market was not there to being
with
A. We had problems with
intellectual property
B. Other (please describe):
C. The research achieved the
Multiple
discoveries proposed, and no
Answers, with
further avenues arising from
text box to
these discoveries merited a
describe
new proposal.
“other”
D. The research did not achieve
the proposed discoveries due
to technical or logistical
obstacles.
E. We encountered difficulties
with our research design itself
I-Corps
Indicators &
Monitoring
System2; SBIR
Common
Questions
Immediate
Outcome:
Evaluation of
commercial
potential
I-Corps
Indicators &
Monitoring
System2; SBIR
Common
Questions
Immediate
Outcome:
Evaluation of
commercial
potential
6
7
8
9
Job
Creation
Job
Creation
Job
Creation
Business
Activitie
Only
asked if
company
has been
incorpor
ated
Not counting owner(s),
as of participation in the
NSF-funded project,
how many people
worked for [NAME
BUSINESS] at the time
of the SBIR Phase II
award?
First
respons
e
Only
asked if
company
has been
incorpor
ated
Not counting owner(s),
as of participation in the
NSF-funded project,
how many people
currently work for
[NAME BUSINESS]?
Annual
Only
asked if
company
has been
incorpor
ated
Not counting owner(s),
as of participation in the
NSF-funded project,
how many people have
worked for [NAME
BUSINESS]?
Annual
Only
asked if
Which of the following
partnership activities
F. We failed to obtain further
funding to continue
G. Other research directions have
since been given higher priority
H. Other (please describe):
Full time employees***
Part time employees
Numerical:
open
*** Full time: working 35 hours or
more per week.
Please exclude contract workers
who work for the business either
full- or part-time but are not on the
business’ official payroll.
Full time employees***
Part time employees
Kauffman Firm
Survey3; I-Corps
Indicators &
Monitoring
System2
Long Term
Outcome: Job
creation
Numerical:
open
*** Full time: working 35 hours or
more per week.
Please exclude contract workers
who work for the business either
full- or part-time but are not on the
business’ official payroll.
Full time employees***
Part time employees
Kauffman Firm
Survey3; I-Corps
Indicators &
Monitoring
System2
Long Term
Outcome: Job
creation
Numerical:
open
*** Full time: working 35 hours or
more per week.
Please exclude contract workers
who work for the business either
full- or part-time but are not on the
business’ official payroll.
• Grantee is acquired by partner
company
Kauffman Firm
Survey3; I-Corps
Indicators &
Monitoring
System2
Long Term
Outcome: Job
creation
Multiple
answer
SBIR Common
Questions
Intermediate
Outcome:
s/Comm
ercializa
tion
company
has been
incorpor
ated
has your company
engaged in?
• Grantee acquires partner
company
• Grantee acquires Intellectual
property from partner company
• Grantee’s IP is acquired
• Grantee in-licenses from partner
company
• Grantee out-licenses to partner
company
• Grantee enters into a Research
& Development Agreement with
partner company
• Grantee makes an Equity
Investment in partner company
• Grantee receives and Equity
Investment from partner
company
• Grantee receives a Grant or
Award from partner company
• Grantee or Grantee’s Customer
enters into a Distribution
Agreement with partner
company
• Grantee enters into a Joint
Venture with partner company
• Grantee receives a Phase IIB
supplement based on partner
company’s investment
• Grantee receives a TECP
supplement
based on
partner company’s commercial
interest
• Other
matrix: for
any selected
response,
responders
then see drop
down menus
for “activity
status”:
(Complete,
First Contact,
or Discussion)
and a
structured
text box for $
amount
where
appropriate
Partnerships are
developed
outside academia
10
Addition
al
Resourc
es
For
commerc
ialization
projects
Have you/the grantee
(company) participated
in an IIP
Commercialization
Assistance Program?
11
Translati
on of
research
findings
Did your industrial
partner incorporate any
of your research
findings in to their
practices/manufacturin
g/business model?
12
Outputs
:
Commer
cializati
on
For
GOALI
and
other
industry
partners
hip
awards
13
Outputs
:
Commer
cializati
on
Please list any
companies that have
demonstrated interest
in partnership activities
related to your NSFfunded research. What
is the nature of the
interest?
Please list the
Commercialization
Grade. Defined below:
A. Products/processes/s
ervices based on the
grant effort are in
use by the target
consumer
population. (e.g., for
SBIR, minimum
cumulative criteria
are $1M at the 8th
A. NO
B. YES
• Dawnbreaker
• TECP
• IA
• Other
A. Yes
B. No
Binary: y/n
with drop
down
selection
options if YES
SBIR Common
Questions
Long Term
Outcome:
Development of
new businesses
and companies
Binary: y/n
SBIR Common
Questions
Intermediate
Outcome:
Partnerships are
developed
outside academia
A.
B.
C.
D.
Structured
text box , with
multiple
answer matrix
for nature of
interest
SBIR Common
Questions
Intermediate
Outcome:
Partnerships are
developed
outside academia
Multiple
choice
SBIR Common
Questions
Long Term
Outcome:
Products, services
or processes are
produced and
commercial
markets are
established
Continued Conversations
Monetary Commitment
Contractual Agreement
Other (please describe)
14
Outputs
:
Licensin
g
This
question
may be
asked
even if
no
company
has been
incorpor
ated.
anniversary of the
award, $0.5M at the
5th anniversary, and
$25K at the 3rd
anniversary).
B. Commercialization is
underway and
significant (not just
sample sales),
product income is
starting to flow.
C. Commercialization/D
evelopment efforts
continue, but
significant sales of
licensing revenues
have not resulted yet
(do not count grants
or investments).
Roughly 20% of these
“works in progress”
will eventually
become successful
projects.
Please enter
information about your
patent’s position.
Patent position:
• Strong
• Primarily Trade Secret
• Key patents/Patent Applications
from Academic partners
• Appears to be infringing prior
art
Multiple
choice
SBIR Common
Questions
Intermediate
Outcome: IP is
licensed or
acquired
15
Outputs
:
Licensin
g
Please enter
information about your
patent’s original source.
16
Outputs
:
Product
/Service
/Process
(PSP)
Outputs
:
Product
/Service
/Process
(PSP)
Outputs
:
Product
/Service
/Process
(PSP)
Outputs
:
Product
/Service
/Process
(PSP)
Outputs
:
Is your company’s
output a product,
service or process?
(Please describe.)
First
respons
e only
In what year did you
record your first sales?
First
respons
e only
17
18
19
20
A. Internal (within our company
B. External (choose organization
type):
• Academic
• For Profit
• Government
• Investor
• Not for Profit
A. Product
B. Service
C. Process
Binary:
internal/exter
nal with drop
down menu
to select
description of
external
SBIR Common
Questions
Intermediate
Outcome: IP is
licensed or
acquired
Multiple
answer with
structured
text box entry
to describe
SBIR Common
Questions
Outputs: Grantee
description of
outputs
Structured
SBIR Common
numerical text Questions
box or drop
down with 4digit year
Long Term
Outcome:
Development of
new businesses
and companies
What are your PSP sales
(in US dollars) for the
last 12 months?
Structured
SBIR Common
numerical text Questions
box
Long Term
Outcome:
Development of
new businesses
and companies
What are your PSP sales
(in US dollars) since
commercialization of
your PSP?
Structured
SBIR Common
numerical text Questions
box
Long Term
Outcome:
Development of
new businesses
and companies
What are your
corporation’s total sales
Structured
SBIR Common
numerical text Questions
Long Term
Outcome:
Outputs
:
Commer
cializati
on
23
Outputs
:
Licensin
g
Please list any
companies that have
demonstrated interest
in partnership activities
related to your NSFfunded research. What
is the nature of the
interest?
How many of the
following does [NAME
BUSINESS] have? Enter
zero if none.
Matrix:
Numerical
Matrix: open
SBIR Common
Questions
Long Term
Outcome:
Development of
new businesses
and companies
Structured
text box , with
multiple
answer matrix
for nature of
interest
SBIR Common
Questions
Intermediate
Outcome:
Partnerships are
developed
outside academia
Kauffman Firm
Survey3; I-Corps
Indicators &
Monitoring
System2
Intermediate
Outcome: IP is
licensed or
acquired
sales
Annual
Development of
new businesses
and companies
% from NSF
project(s)
22
21
box
Total
(in US dollars) for the
last 12 months/at the
time of your SBIR Phase
II award?
Please estimate the
amount of total sales
and licensing revenues
from the products,
services, or processes,
as well as the % of each
derived from NSFfunded project(s).
licensing
Product
/Service
/Process
(PSP)
Econom
ic
Impacts
Only
asked if
company
has been
incorpor
ated
A.
B.
C.
D.
Continued Conversations
Monetary Commitment
Contractual Agreement
Other (please describe)
Numerical:
open for each
option
• Inventions
Disclosed
• Licensing
Agreements
• Patent
24
New
Researc
h
Directio
ns
If
above=N
O
Primary concern related
to
market/commercializati
on efforts:
Applications
• Patents
Granted
• Patents in
Use
• Inventions
Producing
Royalties
• Software
Copyrights
• Company
Trademarks
• Nondisclosure
Agreements
(NDA)
• Materials
Transfer
Agreements
(MTA)
1) Technical Failure or Difficulty
May choose
a) Key personnel left company option A or B
b) Estimated costs too high
ONLY; then
c) Ran out of money or other
any of the
resources
subheadings
d) Patent problems
under that
e) Technology obsolete
option
2) Market Demand Difficulty
a) Market needs change
b) Costs too high (not cost
competitive in market
place)
c) Business segment in
recession
SBIR Common
Questions;
PFI:AIR
Indicators &
Logic Model
Immediate
Outcome:
Evaluation of
commercial
potential
25
Technol
ogy
Develop
ment
26
Technol
ogy
Develop
ment
27
Technol
ogy
Develop
ment
[1]
Only
asked if
commerc
ialization
can be
attribute
d to the
NSFfunded
project
Are there any products,
services, or processes in
the market, market
ready, or awaiting
regulatory approval
whose
commercialization you
can attribute (to some
degree) to your
participation in the NSFfunded project?
[If yes] Please enter the
following information
about products,
services, or processes
Did the original
technology and NSFfunded project result in
spin-offs or new ideas
or products?
Annual
Annual
d) Market was not there to
begin with
Multiple textboxes – for each row:
Describe Product
Status
Number of units sold (if any)
Amount of sales in last fiscal year
Amount of sales since
commercialization
a.
b.
Spin-off company
New product idea(s)
NSF Engineering, “GARDE Satisfaction Survey.” 31-Jul-2013. OMB Control No: 3145-0157
Binary: Y/N
Multiple
textboxes –
for each row:
Binary: Y/N:
SBIR Common
Questions;
PFI:BIC Logic
Model &
Indicators4;
PFI:AIR Logic
Model &
Indicators; ICorps Indicators
& Monitoring
System2
SBIR Common
Questions
SBIR Common
Questions
Long Term
Outcome:
Products, services
or processes are
produced
Long Term
Outcome:
Products, services
or processes are
produced
Long Term
Outcome:
Development of
new companies or
products
[2]
NCIIA, “I-Corps Indicators & Monitoring System.” 23-Oct-2013.
[3]
“Kauffman Firm Survey - Annotated Questionnaire.” Ewing Marion Kauffman Foundation.
[4]
NSF Engineering, “PFI:BIC Logic Model & Indicators.” 26-Jul-2013.
File Type | application/pdf |
Author | Naylor, Sarah |
File Modified | 2018-04-23 |
File Created | 2015-01-28 |