Form Attachment 6 Attachment 6 Screenshots of EIA PI Survey

SURVEY FOR EARLY INDEPENDENCE PRINCIPAL INVESTIGATOR
OMB#: 0925-0665 EXP. DATE: 12/31/2015
Public reporting burden for this collection of information is estimated to average 45 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering 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, including suggestions for reducing this burden, to: NIH, Project
Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0665). Do not return the
completed form to this address.
Version A - EIA Principal Investigators who HAVE NOT CHANGED institutions.
1. Have you changed institutions since you received the Early Independence Award?
Yes
No

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SURVEY FOR EARLY INDEPENDENCE PRINCIPAL INVESTIGATOR
OMB#: 0925-0665 EXP. DATE: 12/31/2015
Version A - EIA Principal Investigators who HAVE NOT CHANGED institutions.
2. Please provide the title of your current position.

3. Overall, how do you feel the level of commitment from your host institution compares to what it was last year?
A. Increased
B. Stayed the same
C. Decreased
4. If the level of commitment from your host institution has changed (increased or decreased), please explain.

5. During the past fiscal year, have you negotiated changes with your host institution regarding your position, and/or
the type and level of support you receive?
Yes
What changes were made?
No
6. How many collaborations are you currently involved in?

6a. How many of these collaborations are related to your EIA research project?

6b. Overall, what is the estimated percentage of your time dedicated to collaborations?

6c. Of the time dedicated to collaborations, what is the estimated percentage related specifically to the EIA research
project?

6d. Please elaborate on your collaborations related to the EIA research project (e.g., topic, expected outcomes,
collaborators inside or outside the institution, etc.)

6e. Please elaborate on your collaborations not related to the EIA research project (e.g., topic, expected outcomes,
collaborators inside or outside the institution, etc.)

7. During the past fiscal year, which of the following challenges or barriers have you encountered as EIA PI? (Please
check all that apply)
None

Administrative (e.g., lack of support staff, inefficient ordering systems, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Operations (e.g., difficulties managing day-to-day activities of the laboratory, difficulty obtaining/maintaining equipment
and supplies, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Recruitment (e.g., difficulty recruiting and hiring staff to work in the laboratory and/or on the project, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Supervising staff (e.g., challenges delegating tasks, problems addressing low productivity, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Career Development (e.g., relevant training not offered, lack of opportunities to attend training, conferences, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Collaboration within the institution (e.g., unable to establish collaborations with senior scientists within the institution, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Collaboration outside the institution (e.g., unable to access senior scientists outside the institution, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Teaching (e.g., heavy teaching load, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Scientific Independence (e.g., institution expectation to work under senior faculty, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Institution Leadership (e.g., lack of access to leadership within the institution, division, or department, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Funding (e.g., unable to identify and apply for other sources of funding, institution not facilitating transition to other
sources of funding, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Integration into Institution Structures
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Management (e.g., challenges overseeing budget, not effective in securing resources, challenges managing time, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are
still ongoing.

Other (please specify):

8. Overall, how satisfied were you with your host institution's responses to the challenges discussed in Question 7?
Very Satisfied
Satisfied
Dissatisfied
Very Satisfied
Not Applicable

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SURVEY FOR EARLY INDEPENDENCE PRINCIPAL INVESTIGATOR
OMB#: 0925-0665 EXP. DATE: 12/31/2015
Version A - EIA Principal Investigators who HAVE NOT CHANGED institutions.
9. During the past fiscal year, has your institution formally evaluated you and reviewed progress made in your NIH
EIA research project?
Yes
Describe the evaluation process, the issues discussed, and who performed the evaluation

No
Will you be formally evaluated in the future? If so, when and what process will be used to conduct your evaluation?

10. Please comment on the advisory structure in place for the EIA program at your host institution and any changes
in the past fiscal year. Include how often have you met with your advisor(s) and what issues were discussed during
the meeting(s).

11. During the past fiscal year, how satisfied were you with your advisor(s) associated with EIA program?
Very Satisfied
Satisfied
Dissatisfied
Very Satisfied
Not Applicable
Please Comment

12. Please comment on the type and level of support you have received from senior colleagues (excluding advisors)
and leadership (e.g., Department Chair, Division Head, Dean, etc.) at your host institution during the past fiscal year?

13. How satisfied are you with the administrative and/or support resources that were provided to you during the past
fiscal year?
Very Satisfied
Satisfied
Dissatisfied
Very Satisfied
Not Applicable
Please comment on the administrative and/or support resources provided during the past fiscal year (e.g., human
resources, supply and equipment ordering systems, administrative assistance, budget manager, etc.).

14. How satisfied are you with the career development resources that you used during the past fiscal year?
Very Satisfied
Satisfied
Dissatisfied
Very Satisfied
Not Applicable
Please comment on your experience with your institution's career development resources during the past fiscal year
(e.g., courses in laboratory management, grant writing, staff supervision, etc.).

15. During the past fiscal year, did you teach a course?
Yes
Please describe the type of courses taught and your teaching load

No

16. During the past fiscal year, which of the following sources of funding have you applied for? Please check all that
apply.
I have NOT applied for additional sources of funding during the past year
NIH
Please list the name of the Institute or Office of the Director,
the name of the program, the amount, and the period of funding

Applied, but did
not receive
funding

Applied,
awaiting
notification

Funding
Received

Government Agencies (excluding NIH)
Please list the name of the office, the name of the program,
the amount, and the period of funding

Applied, but did
not receive
funding

Applied,
awaiting
notification

Funding
Received

Institutional Resources
Please list the name of the office, the name of the program, the amount, and the
period of funding

Applied, but
did not
receive
funding

Applied,
awaiting
notification

Funding
Received

Private (e.g., foundations, industry, etc.)
Please list the name of the office, the name of the program,
the amount, and the period of funding

Applied, but
did not
receive
funding

Applied,
awaiting
notification

Funding
Received

Other
Please list the name of the office, the name of the program,
the amount, and the period of funding

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Applied,
but did not
receive
funding

Applied,
awaiting
notification

Funding
Received

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SURVEY FOR EARLY INDEPENDENCE PRINCIPAL INVESTIGATOR
OMB#: 0925-0665 EXP. DATE: 12/31/2015
Version A - EIA Principal Investigators who HAVE NOT CHANGED institutions.
17. Which of the following have occurred during the past fiscal year? Please check all that apply.
I applied for tenure
I filed a patent application or have been granted a patent
I expanded my research group (e.g., added staff)
I formed new collaborations
I received an award(s)
What award(s) did you receive?

I was promoted
What promotion did you receive?

I published an original, peer-reviewed article
Are you the senior or corresponding author?

Please provide the URL or citation

I published a book or other non-periodical, one time publication (e.g., monograph, any significant publication in the
proceedings of a one-time conference or in the report of a one-time study, commission, or the like).
Please provide the URL or citation

I produced other publications such as conference papers and presentations
Please provide the URL or citation

I expanded my research focus
Please explain

I changed my research focus
Please explain

My work was featured in the popular press and/or media
In what popular press and/or media has your work been featured? Please provide the URL or citation

I served as a grant reviewer
Please provide the name of the institution and the topic

Other (please specify):

18. What resources resulted from your EIA scientific project during the past fiscal year? Please check all that apply.
I do not have any resources to report
Website(s) or other Internet site(s)
Please provide URL for the website or other internet sites that you can attribute to EIA funding and the percent attribution

Technologies or techniques
Please list all your technologies or techniques that you can attribute to EIA funding and the percent attribution

Inventions, patent applications, and/or licenses
Please list all your inventions, patent applications, and/or licenses that you can attribute to EIA funding and the percent
attribution

Other resources
Please check the resources that you can attribute to EIA funding and the percent attribution
Databases
Please describe and provide the percent attribution to EIA funding

Physical collections
Please describe and provide the percent attribution to EIA funding

Audio or video products
Please describe and provide the percent attribution to EIA funding

Software
Please describe and provide the percent attribution to EIA funding

Models
Please describe and provide the percent attribution to EIA funding

Educational aids or curricula
Please describe and provide the percent attribution to EIA funding

Instruments or equipment
Please describe and provide the percent attribution to EIA funding

Data & Research Material (e.g., cell lines, DNA probes, animal models, etc.)
Please describe and provide the percent attribution to EIA funding

Other (Please describe and indicate the percent attribution to EIA funding):
Please describe and provide the percent attribution to EIA funding

19. Gender
Male
Female
20. Ethnicity (Please choose only one)
Hispanic or Latino
Not Hispanic or Latino
21. Race (Please choose all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
22. Please feel free to share any other thoughts you might have related to the EIA program.

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SURVEY FOR EARLY INDEPENDENCE PRINCIPAL INVESTIGATOR
OMB#: 0925-0665 EXP. DATE: 12/31/2015
Version B - EIA Principal Investigators who HAVE CHANGED institutions.
2. When did you change host institutions? (month/date/year)

3. What was your position at your old host institution (e.g., tenure track faculty, non-tenure track research fellow,
etc.)?

4. What is your current position and title at your new host institution (e.g., tenure track faculty, non-tenure track
research fellow, etc.)?

5. What were the reasons for changing institutions?

6. Were there challenges associated with changing institutions? If so, what were they and how were they addressed?

7. How many collaborations are you currently involved in?

7a. How many of these collaborations are related to your EIA research project?

7b. Overall, what is the estimated percentage of your time dedicated to collaborations?

7c. Of the time dedicated to collaborations, what is the estimated percentage related specifically to the EIA research
project?

7d. Please elaborate on your collaborations related to the EIA research project (e.g., topic, expected outcomes,
collaborators inside or outside the institution, etc.)

7e. Please elaborate on your collaborations not related to the EIA research project (e.g., topic, expected outcomes,
collaborators inside or outside the institution, etc.)

Please Note: Questions 8-16 apply to your new institution.
8. During the past fiscal year, which of the following challenges or barriers have you encountered as EIA PI? (Please
check all that apply)
None
Administrative (e.g., lack of support staff, inefficient ordering systems, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Operations (e.g., difficulties managing day-to-day activities of the laboratory, difficulty obtaining/maintaining equipment
and supplies, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Recruitment (e.g., difficulty recruiting and hiring staff to work in the laboratory and/or on the project, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Supervising staff (e.g., challenges delegating tasks, problems addressing low productivity, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Career Development (e.g., relevant training not offered, lack of opportunities to attend training, conferences, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Collaboration within the institution (e.g., unable to establish collaborations with senior scientists within the institution, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Collaboration outside the institution (e.g., unable to access senior scientists outside the institution, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Teaching (e.g., heavy teaching load, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Scientific Independence (e.g., institution expectation to work under senior faculty, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Institution Leadership (e.g., lack of access to leadership within the institution, division, or department, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Funding (e.g., unable to identify and apply for other sources of funding, institution not facilitating transition to other
sources of funding, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Integration into Institution Structures
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Management (e.g., challenges overseeing budget, not effective in securing resources, challenges managing time, etc.)
Please describe the challenges, steps taken by you and the host institution to address them, and if the challenges are still
ongoing.

Other (please specify):

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SURVEY FOR EARLY INDEPENDENCE PRINCIPAL INVESTIGATOR
OMB#: 0925-0665 EXP. DATE: 12/31/2015
Version B - EIA Principal Investigators who HAVE CHANGED institutions.
9. Overall, how satisfied were you with your host institution's responses to the challenges discussed in Question 8?
Very Satisfied
Satisfied
Dissatisfied
Very Satisfied
Please comment:

10. During the past fiscal year, has your institution formally evaluated you and reviewed progress made in your NIH
EIA research project?
Yes
Describe the evaluation process, the issues discussed, and who performed the evaluation

No
Will you be formally evaluated in the future? If so, when and what process will be used to conduct your evaluation?

11. Please comment on the advisory structure in place for the EIA program at your host institution and any changes
in the past fiscal year. Include how often have you met with your advisor(s) and what issues were discussed during
the meeting(s).

12. During the past fiscal year, how satisfied were you with your advisor(s) associated with EIA program?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Please comment:

13. Please comment on the type and level of support you have received from senior colleagues (excluding advisors)
and leadership (e.g., Department Chair, Division Head, Dean, etc.) at your host institution during the past fiscal year?

14. How satisfied are you with the administrative and/or support resources that were provided to you during the past
fiscal year?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Please comment on your experience with your institution’s career development resources during the past fiscal year
(e.g., courses in laboratory management, grant writing, staff supervision, etc.).

15. How satisfied are you with the career development resources that you used during the past fiscal year?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Please comment on your experience with your institution’s career development resources during the past fiscal year
(e.g., courses in laboratory management, grant writing, staff supervision, etc.).

16. During the past fiscal year, did you teach a course?
Yes
Please describe the type of courses taught and your teaching load

No

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SURVEY FOR EARLY INDEPENDENCE PRINCIPAL INVESTIGATOR
OMB#: 0925-0665 EXP. DATE: 12/31/2015
Version B - EIA Principal Investigators who HAVE CHANGED institutions.
17. During the past fiscal year, which of the following sources of funding have you applied for? Please check all that
apply.
I have NOT applied for additional sources of funding during the past year
NIH
Please list the name of the Institute or Office of the Director,
the name of the program, the amount, and the period of funding

Applied, but did
not receive
funding

Applied,
awaiting
notification

Funding
Received

Government Agencies (excluding NIH)
Please list the name of the office, the name of the program,
the amount, and the period of funding

Applied, but did
not receive
funding

Applied,
awaiting
notification

Funding
Received

Institutional Resources
Please list the name of the office, the name of the program, the amount, and the
period of funding

Applied, but
did not
receive
funding

Applied,
awaiting
notification

Funding
Received

Private (e.g., foundations, industry, etc.)
Please list the name of the office, the name of the program,
the amount, and the period of funding

Applied, but
did not
receive
funding

Applied,
awaiting
notification

Funding
Received

Other
Please list the name of the office, the name of the program,
the amount, and the period of funding

Applied,
but did not
receive
funding

Applied,
awaiting
notification

Funding
Received

18. Which of the following have occurred during the past fiscal year? Please check all that apply.
I applied for tenure
I filed a patent application or have been granted a patent
I expanded my research group (e.g., added staff)
I formed new collaborations
I received an award(s)
What award(s) did you receive?

I was promoted
What promotion did you receive?

I published an original, peer-reviewed article
Are you the senior or corresponding author?

Please provide the URL or citation

I published a book or other non-periodical, one time publication (e.g., monograph, any significant publication in the
proceedings of a one-time conference or in the report of a one-time study, commission, or the like).
Please provide the URL or citation

I produced other publications such as conference papers and presentations
Please provide the URL or citation

I expanded my research focus
Please explain

I changed my research focus
Please explain

My work was featured in the popular press and/or media
In what popular press and/or media has your work been featured? Please provide the URL or citation

I served as a grant reviewer
Please provide the name of the institution and the topic

Other (please specify):

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SURVEY FOR EARLY INDEPENDENCE PRINCIPAL INVESTIGATOR
OMB#: 0925-0665 EXP. DATE: 12/31/2015
Version B - EIA Principal Investigators who HAVE CHANGED institutions.
19. What resources resulted from your EIA scientific project during the past fiscal year? Please check all that apply.
I do not have any resources to report
Website(s) or other Internet site(s)
Please provide URL for the website or other internet sites that you can attribute to EIA funding and the percent attribution

Technologies or techniques
Please list all your technologies or techniques that you can attribute to EIA funding and the percent attribution

Inventions, patent applications, and/or licenses
Please list all your inventions, patent applications, and/or licenses that you can attribute to EIA funding and the percent
attribution

Other resources
Please check the resources that you can attribute to EIA funding and the percent attribution
Databases
Please describe and provide the percent attribution to EIA funding

Physical collections
Please describe and provide the percent attribution to EIA funding

Audio or video products
Please describe and provide the percent attribution to EIA funding

Software
Please describe and provide the percent attribution to EIA funding

Models
Please describe and provide the percent attribution to EIA funding

Educational aids or curricula
Please describe and provide the percent attribution to EIA funding

Instruments or equipment
Please describe and provide the percent attribution to EIA funding

Data & Research Material (e.g., cell lines, DNA probes, animal models, etc.)
Please describe and provide the percent attribution to EIA funding

Other (Please describe and indicate the percent attribution to EIA funding):
Please describe and provide the percent attribution to EIA funding

20. Gender
Male
Female
21. Ethnicity (Please choose only one)
Hispanic or Latino
Not Hispanic or Latino
22. Race (Please choose all that apply)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
23. Please feel free to share any other thoughts you might have related to the EIA program.

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