Form 1 Survey (Attachment 1B)

[SURVEY PREVIEW MODE] NCI CIRB Helpdesk Survey

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NCI CIRB Helpdesk Survey

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OMB #0925-0625
Expiry Date: 01/31/2014
Public reporting burden for this collection of information is estimated to average 10 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 (0925-0625). Do not return the completed form to this address.

________________________

Please complete this short survey for the NCI CIRB. Your feedback will help us with our
quality improvement efforts. Thank you.
1. Based on your Helpdesk interaction, how would you rate the following:
Very Satisfied

Satisfied

Not Satisfied

Response time to
your inquiry
Completeness of
response
Overall Helpdesk
interaction

Comments

2. Do you have any suggestions to improve future Helpdesk interactions?

3. Please select the team member with whom you communicated. (Select all that
apply)
Jen Berghers

LaTisa Hernandez

Allison Peel

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[SURVEY PREVIEW MODE] NCI CIRB Helpdesk Survey

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Amparo Briggs

John Horigan

Amanda Putnick

Brian Campbell

Kundan Kumar

Birdena Samuel

Chelsea Clark

Emmett Lauer

Catherine Tuggle

Laura Covington

John Morais

Claudine Valmonte

Jennifer Dugan

Angela Norman

Don't Know

Katie Franklin

Andrew O'Connor

Renee Green

Diana Orr

4. Please indicate your role.
IRB Staff

Principal Investigator

Research Staff

Cooperative Group Staff

Other (please specify)

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