| 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 | |||||||
| DOB (Include DNWTP option) | R | Date | ||||||||
| Citizenship | O | LOV | US Citizen or Non-citizen National Permanent Resident Non Resident | |||||||
| Citizenship Country | O | LOV | Country List | |||||||
| Disability | ||||||||||
| Do you have? | O | Y/N | ||||||||
| Type of Disability | O | Checkboxes | Hearing Visual Mobility/Orthopedic Impairment Other | |||||||
| Race/Ethnicity | ||||||||||
| Race | R | Checkboxes | American Indian or Alaska Native Asian Black or African American White Native Hawaiian or Pacific Islander DNWTP | |||||||
| Ethnicity | R | LOV | Hispanic/Latino Intentionally Withheld Non-Hispanic | |||||||
| 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 | |||||||
| Academic Rank | O | LOV | Assistant Professor Associate Professor Instructor Other Professor | |||||||
| Position | O | LOV | Assistant or Associate Dean Chairperson of Dept (or Director) Dean Other President Vice President | |||||||
| Employment Type | R | LOV | Federal Non-Federal | |||||||
| 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 | |||||||
| 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 | |||||||
| Text Entry field if Yes | Text | |||||||||
| Disadvantaged Background? | R | LOV | Yes No DNWTP | |||||||
| System Generated Fields Adding 1/2009 | ||||||||||
| 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 |