Attachment 7 - eRA Commons Person Profile Data | ||||||||||
Currently Collected on OMB Cleard Forms | ||||||||||
OMB Clearance # 0925-0001 | ||||||||||
Field Name | Req Opt |
Type of Field | LOV | |||||||
Personal Information | ||||||||||
Name Prefix | O | Text | ||||||||
First Name | R | Text | ||||||||
Middle Name | O | Text | ||||||||
Last Name | R | Text | ||||||||
Name Suffix | O | Text | ||||||||
SSN (full or last 4) | O | Text | ||||||||
Gender | R | LOV | DNWTP Female Male |
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DOB (Include DNWTP option) |
R | Date | ||||||||
Citizenship | O | LOV | US Citizen or Non-citizen National Permanent Resident Non Resident |
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Citizenship Country | O | LOV | Country List | |||||||
Disability | ||||||||||
Do you have? | O | Y/N | ||||||||
Type of Disability | O | Checkboxes | Hearing Visual Mobility/Orthopedic Impairment Other |
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Race/Ethnicity | ||||||||||
Race | R | Checkboxes | American Indian or Alaska Native Asian Black or African American White Native Hawaiian or Pacific Islander DNWTP |
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Ethnicity | R | LOV | Hispanic/Latino Intentionally Withheld Non-Hispanic |
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Employments | ||||||||||
Employer: Select one: | R | |||||||||
NIH Recognized Institution | Text | |||||||||
NIH Institute or Center | LOV | NIH ICs | ||||||||
Employment Info | ||||||||||
Start Date | R | Date | ||||||||
End Date | O | Date | ||||||||
Title | O | Text | ||||||||
Employment Status | R | LOV | Full-Time Part-Time |
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Academic Rank | O | LOV | Assistant Professor Associate Professor Instructor Other Professor |
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Position | O | LOV | Assistant or Associate Dean Chairperson of Dept (or Director) Dean Other President Vice President |
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Employment Type | R | LOV | Federal Non-Federal |
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Primary Employment? | N | Checkbox | ||||||||
Employment Address | ||||||||||
Line 1 | R | Text | ||||||||
Line 2 | O | Text | ||||||||
Line 3 | O | Text | ||||||||
Line 4 | O | Text | ||||||||
City | R | Text | ||||||||
State | R | Text | ||||||||
ZipCode | R | Text | ||||||||
Country | R | LOV | Country List | |||||||
Phone | R | Text | ||||||||
Fax | O | Text | ||||||||
R | Text | |||||||||
Preferred Employment Address? | Checkbox | |||||||||
Reviewer Address | ||||||||||
Line 1 | R | Text | ||||||||
Line 2 | O | Text | ||||||||
Line 3 | O | Text | ||||||||
Line 4 | O | Text | ||||||||
City | R | Text | ||||||||
State | R | Text | ||||||||
ZipCode | R | Text | ||||||||
Country | R | LOV | Country List | |||||||
Phone | R | Text | ||||||||
Fax | O | Text | ||||||||
R | Text | |||||||||
Residential Address | ||||||||||
Line 1 | R | Text | ||||||||
Line 2 | O | Text | ||||||||
Line 3 | O | Text | ||||||||
Line 4 | O | Text | ||||||||
City | R | Text | ||||||||
State | R | Text | ||||||||
ZipCode | R | Text | ||||||||
Country | R | LOV | Country List | |||||||
Phone | R | Text | ||||||||
Fax | O | Text | ||||||||
R | Text | |||||||||
Degrees | ||||||||||
Degree Name | R | LOV | See separate Tab for LOV | |||||||
Degree Text (for Other) | O | Text | ||||||||
Degree Completed? | R | Radio Buttons | Yes No/Inprogress |
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Major | O | Text | ||||||||
Minor | O | Text | ||||||||
Institution | R | Text | ||||||||
Location (if not in US, indicate city & country) | O | Text | ||||||||
Date (or expected Date) of Degree | R | Date | ||||||||
Length of Program (# of Yrs) | O | Text | ||||||||
Area of Residency (Adding 1/2009) |
O | Text | ||||||||
Residency End Date (Adding 1/2009) |
O | Date | ||||||||
Publications | ||||||||||
Citation ID | O | Text | ||||||||
Citation Text | R | Text | ||||||||
Reference Ltrs | ||||||||||
Referee Name | ||||||||||
Grant Number | ||||||||||
FOA Number | ||||||||||
Project Title | ||||||||||
Organziation/Affliation | ||||||||||
Department | ||||||||||
Submitted Date | ||||||||||
Trainee-Specific | ||||||||||
Non-Deliquency on US Federal Debt? | R | Radio Buttons | Yes No |
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Text Entry field if Yes | Text | |||||||||
Disadvantaged Background? | R | LOV | Yes No DNWTP |
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System Generated Fields Adding 1/2009 |
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Fields being added to aid in NI/ESI efforts. All will be system-generated but part of the Person Profile | ||||||||||
ESI Eligibility | Yes/No | |||||||||
End of Eligibility Date | Date | |||||||||
New Investigator Eligibility | Yes/No | |||||||||
Appeal Date | Date | |||||||||
Appeal Outcome | Text | |||||||||
Standard NI/ESI Eligibility will be system calculated. However an exception policy will be implemented. These exceptions will be handled via an appeal process. |
Degrees LOV in Person Profile | |
AB | BACHELOR OF ARTS |
BA | BACHELOR OF ARTS |
BS | BACHELOR OF SCIENCE |
DDS | DOCTOR OF DENTAL SURGERY |
DMD | DOCTOR OF MEDICAL DENTISTRY |
DPH | DOCTOR OF PUBLIC HEALTH |
DSC | DOCTOR OF SCIENCE |
DVM | DOCTOR OF VETERINARY MEDICINE |
EDD | DOCTOR OF EDUCATION |
MA | MASTER OF ARTS |
MBBS | FOREIGN - BACHELOR OF MEDICINE AND SURGERY |
MD | DOCTOR OF MEDICINE |
MPH | MASTER OF PUBLIC HEALTH |
MS | MASTER OF SCIENCE |
PHD | DOCTOR OF PHILOSOPHY |
RN | REGISTERED NURSE |
SCD | DOCTOR OF SCIENCE |
VMD | DOCTOR OF VETERINARY MEDICINE |
OTH | OTHER |
DRPH | DOCTOR OF PUBLIC HEALTH |
BSN | BACHELOR OF SCIENCE IN NURSING |
DC | DOCTOR OF CHIROPRACTIC |
DNSC | DOCTOR OF NURSING SCIENCE |
DO | DOCTOR OF OSTEOPATHY |
FAAN | FELLOW OF THE AMERICAN ACADEMY OF NURSING |
JD | DOCTOR OF JURIS PRUDENCE |
MB | FOREIGN - BACHELOR OF MEDICINE |
MBA | MASTER OF BUSINESS ADMINISTRATION |
MLS | MASTER OF LIBRARY SCIENCE |
MPA | MASTER OF PUBLIC ADMINISTRATION |
MSN | MASTER OF SCIENCE IN NURSING |
OD | DOCTOR OF OPTOMETRY |
BOTH | OTHER BACCALAUREATE |
MOTH | OTHER MASTERS |
DOTH | OTHER DOCTORATE |
MDOT | OTHER DOCTOR OF MEDICINE |
VDOT | OTHER DOCTOR OF VETERINARY MEDICINE |
DDOT | OTHER DOCTOR OF MEDICAL DENTISTRY |
ENGD | FOREIGN - DOCTOR OF ENGINEERING |
PHMD | DOCTOR OF PHARMACY |
ND | DOCTOR OF NATUROPATHY |
DSW | DOCTOR OF SOCIAL WORK |
PSYD | DOCTOR OF PSYCHOLOGY |
DPM | DOCTOR OF PODIATRIC MEDICINE |
File Type | application/vnd.ms-excel |
Author | hahnm |
Last Modified By | curriem |
File Modified | 2009-03-03 |
File Created | 2008-10-30 |