Form 1 LRP Survey for Applicants Form A- Screenshots

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

LRP Survey for Applicants Form A - Screenshots

The NIH Extramural Loan Repayment Programs: Online Post-Application Customer Service Survey for Applicants – Form A

OMB: 0925-0648

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NIH Loan Repayment Programs Post-Application
Survey for Applicants Form A

OMB# 0925-0648
Expiration Date: 03/2018

Public reporting burden for this collection of information is estimated to be 4 minutes, 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 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.
* 1. This survey is voluntary and asks for opinions only about your experience with the NIH Loan Repayment
Programs (LRP) Application Process. Please check "Continue" below to start the survey or close your
browser if you do not want to participate in this survey.
Continue

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NIH Loan Repayment Programs Post-Application
Survey for Applicants Form A

OMB# 0925-0648
Expiration Date: 03/2018

* 2. Please choose the category that best describes you.
You are a first time LRP applicant and have never received an award
You applied to the LRP before but never received an award
You have received at least one LRP award

* 3. To which LRP did you apply?
Clinical Research
Pediatric Research
Contraception and Infertility Research
Health Disparities Research
Clinical Research for Researchers from Disadvantaged Backgrounds

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4. Aside from the need to reduce your debt, how important were the following factors in your decision to
apply to the LRP?
Not at All
Important

Somewhat
Important

Moderately
Important

Very
Important

Extremely
Important

N/A

Extremely
Easy

N/A,
Already had one

Encouragement from a
mentor/supervisor:
Colleague had a good
experience with the
LRP:
Helpful interaction(s)
with staff
from the LRP
Information
Center (phone or
email):
Helpful interaction(s)
with an
LRP Liaison or Program
Officer at one of the
NIH Institutes or
Centers:
Helpful information on
the
LRP website:
Encouragement or
helpful
information from an
LRP Ambassador:
Success stories on the
LRP website:
Clarity of the LRP
website
(e.g., eligibility or
application
requirements were
easy to
determine):
Other (please specify):

5. How easy was it to get a Commons ID, required by the LRP application?
Not at All
Easy

Somewhat
Easy

Moderately
Easy

Very
Easy

Commons ID

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6. Some LRP applicants experienced technical problems during the application period. Please indicate
below if you experienced any of these problems. [Choose all that apply]
Finding or clicking the upload button for files like the research plan, etc.
Getting the upload button for files to work
Referee/Recommender/IBO/Mentor contact information couldn't be added easily
NIH systems not validating the Commons ID you entered
Unable to see the Application Status page
Your local internet provider blocked some NIH URLs, including the LRP OAS
There was a delay in sending automated emails to a Referee/Recommender
The Send Again button for automated emails to go to a Referee/Recommender or IBO didn't work
The Submit Application button wasn't available while logged in with your open ID (i.e., not Commons ID)
Unable to change your application/award type or program via the checkbox banner at the top of the application
Other (please specify):

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NIH Loan Repayment Programs Post-Application
Survey for Applicants Form A

OMB# 0925-0648
Expiration Date: 03/2018

7. How easy was the LRP online application system (OAS) to use? Please rate the following items:
Not at All
Easy

Somewhat
Easy

Moderately
Easy

Very
Easy

Extremely
Easy

Don't
Remember

Getting an LRP account
by
logging into
LRP systems
the first time:
Logging into LRP
systems on
subsequent visits:
Choosing an LRP, type
of
award, and
Institute/Center:
Completing the first
application page
containing
eligibility questions:
Navigating through the
various
parts of the OAS:
Understanding the
organization of the
OAS:
Finding the Application
Instructions Booklet on
the
LRP website:
Using the Application
Instructions
Booklet:
Understanding directions
in
the Application
Instruction
Booklet:
Uploading documents:
Printing out the contract:

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NIH Loan Repayment Programs Post-Application
Survey for Applicants Form A

OMB# 0925-0648
Expiration Date: 03/2018

8. Once you had the information gathered, how easy was it to enter the following material into the LRP
OAS?
Not at All
Easy

Somewhat
Easy

Moderately
Easy

Very
Easy

Extremely
Easy

Don't
Remember

Personal information:
Employment information:
Academic affiliation
information:
Degree information:
Information about
Mentors/Referees/
Recommenders:
Information about your
IBO
(person who verifies
your
employment and
salary):
Research funding
information:
Loan information:

6

NIH Loan Repayment Programs Post-Application
Survey for Applicants Form A

OMB# 0925-0648
Expiration Date: 03/2018

9. Overall, how easy was it to use the LRP OAS?
Not at All
Easy

Somewhat
Easy

Moderately
Easy

Very
Easy

Extremely
Easy

Don't
Remember

Overall experience:

10. What were the best aspects of the LRP OAS?
1st
2nd
3rd

11. What specific things could be improved about the LRP OAS?
1st
2nd
3rd

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File Typeapplication/pdf
File TitleView Survey
File Modified2016-12-02
File Created2016-12-01

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