Form 1 Email Survey

OMB Control Number: 0925-0648
Expiration Date: 03/2018

Public reporting burden for this collection of information is estimated to average 60 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 (0925-0648). Do not return the completed form to this address.

Awardees Feedback Survey

1. What information did you learn from this award?

2. Did you encounter unanticipated barriers?

   1. What were these barriers?

   2. Did they delay your progress?

3. Do you plan/have you planned a subsequent trial?

   1. If not, why not?

   2. If yes,

      1. What is your time frame?

      2. If yes, from whom do you plan to request funding?

      3. Did the information gathered in the R34 lead you to modify your trial design or plans for implementation? If so, how?

4. Are you planning any publications based upon this award?

5. Did this program meet your needs?

   1. If not, why not?

   2. How would you modify the program to better meet your needs?