4 Finalists

Request for Generic Clearance to Conduct Voluntary Customer/Partner Surveys(NLM)

Finalists screenshots survey 3-19-2012

Early Independence Award Program (EIA) Customer Satisfaction Surveys

OMB: 0925-0476

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CUSTOMER SATISFACTION SURVEY FOR FINALISTS
OMB# 0925-0476 EXP. DATE: 06/30/2012
Public reporting burden for this collection of information is estimated to average 15 minutes, including the time for reviewing
instructions, searching existing data sources, gather and maintaining the data 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 currently valid OMB control number. Send comments regarding this burden estimate or any
other aspect of this collection of information to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda,
MD 20892-7974, ATTN: PRA (0925-0534). Do not return the completed form to this address.
If you have comments or concerns regarding the status of your individual submission of this survey, please email
[email protected]
Introduction
Thank you for accessing the customer satisfaction survey for Finalists. You recently completed the interview portion of the
review process as part of the NIH Director's Early Independence Award (RFA-RM-11-007 http://grants.nih.gov/grants/guide/rfafiles/RFA-RM-11-007.html). This is an opportunity for you to share your experience with the interview process and provide
feedback. The survey should take approximately 15 minutes to complete. There are no right or wrong answers, and you may
skip any questions that you do not wish to address.
The website for the survey will be open from [INSERT START DATE] to [INSERT START DATE] (11:59 pm Eastern
Daylight Time).
Privacy and Participation
Your participation is voluntary and non-participation will have no impact on you or your institution. Your responses will be kept
private. If you choose to participate, your privacy will be protected to the extent permitted by law, and will not be disclosed to
anyone but the researchers conducting this study, except as otherwise required by law. You will not be identified by name and
information from the study will only be reported in the aggregate. Your responses will be combined with those of other
respondents in the final report. Responses will be used solely for the purpose of program improvement. Any identifiers (e.g.,
names, institutions, e-mail addresses, etc.) will be removed when responses are compiled. No proprietary, classified,
confidential, or sensitive information should be included in your responses.
Agree to Participate
Press "START SURVEY" if you agree to participate. Your participation is greatly appreciated.

Start Survey

CUSTOMER SATISFACTION SURVEY FOR FINALISTS
OMB# 0925-0476 EXP. DATE: 06/30/2012

If you have comments or concerns regarding the status of your individual submission of this survey, please email
[email protected]
1. Select the option that best describes your situation.
A.

The institution with which I applied for the NIH EIA program was the same as my current institution at the time of
application

B.

The institution with which I applied for the NIH EIA program was different from my current institution at the time of
application

2. Select the option that best describes your degree status at the time of submitting the NIH EIA application.
A.

I will complete all the requirements for a doctoral degree within the following 12 months from the time of the NIH EIA
application

B.

I will complete my medical residency within the following 12 months from the time of the NIH EIA application

C.

I have received my terminal doctoral degree within the preceding 12 months at the time of the NIH EIA application

D.

I have completed my medical residency within the preceding 12 months at the time of the NIH EIA application

3. Select the option that best describes your plans.
A.

I have ONLY applied for the NIH EIA program

B.

I have a position/appointment. For example, postdoctoral position, faculty position, fellowship for a medical specialty,
other fellowships, etc.
Please list the type of position/appointments below:

C.

I have applied for other position(s)/appointment(s). For example, postdoctoral position, faculty position, fellowship for
a medical specialty, other fellowships, etc.
Please list the types of appointments below:

4. Comment on how helpful the NIH interview guidance was in assisting you to prepare for the interview.

5. Comment on the length and format of the interview (5 minutes for investigators to give a succinct summary and 15
minutes for the panel to have questions and answers with investigators).

6. Comment on whether the questions asked by the panel were consistent with your expectations and the RFA.

7. Comment on the in-person interview as part of the review process.

8. Comment on whether you believe the interview experience will be helpful for future career endeavors.

9. Comment on how NIH could improve the interview meeting.

Submit

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File Typeapplication/pdf
File Titlehttp://fmp-8.cit.nih.gov/eia/csf.php
File Modified2012-03-19
File Created2012-03-19

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