On-line Survey for Early Indepenedence Principal Investigators

Process Evaluation of the NIH Director's Early Independence Award Program (EIA)

Documents and Forms

Document Name Document Type
Form Attachment 6 On-line Survey for Early Indepenedence Principal Investigators Form and Instruction
Attachment 6 Screenshots of EIA PI Survey Screenshots Online survey EIA Principal Investigators (versions AB).pdf Form and Instruction
Attachment B.2.1 - Protocols Online Survey EIA Principal Investigator.doc On-line Survey Protocols IC Document
Attachment 6 Proposed Final Online Survey EIA Principal Investigators (Versions A B).doc Attachment 6: Word version of the EIA PI Online Survey - final version IC Document

Information Collection (IC) Details

IC Title:	On-line Survey for Early Indepenedence Principal Investigators	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment 6	Screenshots of EIA PI Survey	Screenshots Online survey EIA Principal Investigators (versions AB).pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	40	16	24
Annual IC Time Burden (Hours)	30	6	24
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
On-line Survey Protocols	Attachment B.2.1 - Protocols Online Survey EIA Principal Investigator.doc	09/26/2012
Attachment 6: Word version of the EIA PI Online Survey - final version	Attachment 6 Proposed Final Online Survey EIA Principal Investigators (Versions A B).doc	08/16/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.