OMB Control No. 0648-0342
Expires 5/31/2018
SBIR Survey
PRA Statement: Public reporting burden for this collection of information is estimated to average 20 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. Send comments regarding this burden estimate or any other suggestions for reducing this burden to Derek Parks), NOAA Office of Oceanic and Atmospheric Research, 1315 East-West Highway
Silver Spring, MD 20910; [email protected].
Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number.
Thank you for taking the time to complete this survey! This survey will focus on your SBIR project entitled [TITLE].
NOAA is conducting this survey to collect feedback on your experience with the SBIR program and to collect information on the outcomes that companies who received SBIR funding obtained.
Before we begin, we made an attempt to classify your SBIR product or technology into a product category. We classified your product as [description]. Is this accurate? If not, please provide a better (and brief description).
__ Yes, it’s accurate
__ No, it should be ______________________
Who are the primary groups that would purchase this product or technology? (Check all that apply)
__ NOAA
__ Other federal agencies (besides NOAA)
__ State and/or local governments
__ Non-profit entities
__ Scientists or researchers
__ Other companies
__ The general public
__ Other (please describe) _______________________
__ Under development
__ Pre-market testing (no sales)
__ On the market
__ Formerly on the market but not currently being sold any more
__ Not on the market and no plans to have it on the market
__ Other (please describe): _____________________
If Q3 is “On the market” or “Formerly on the market…”, go to Q4, else go to Q10
Over what time frame was the product or technology sold to customers? (Please select the beginning and ending years of sale.)
Start: {year drop-down}
End: {year drop-down, with ‘current’}
Over that time frame, what were the approximate sales of the product or technology?
$ ____________ (Please use dollars)
Please estimate the expected sales of the product or technology over the next year.
$__________ of sales are expected in the coming year
__ No additional sales are expected in the coming year
In what state was the product or technology? (If more than one state is relevant, select the most significant state.)
{State drop down}
Not counting funding you received from NOAA, how much did your company invest in the development, production, and marketing of this product or technology? (If no additional money was invested, use $0.)
$ ____ of additional internal investment
Did you receive any additional investment funding from other non-NOAA external sources (e.g., venture capital) to assist in the development, production, or marketing of this product or technology? (If no additional investment money was obtained, use $0.)
$ _____ of additional investment funding
__ Yes
__ No
[If Q10 = “Yes”] What was the approximate total amount of sales of these additional products or technologies? (If sales are $0, indicate as such.)
$____ dollars in sales
[If Q10 = “Yes”] Over what time period did those sales occur? (Please select the beginning and ending years of sale.)
From: {Year drop-down}
To: {Year-drop-down, “present”}
How would you describe your product’s/technology’s commercial success to this point in time?
__ Very successful
__ Successful
__ Marginally successful
__ Not successful
How satisfied are you with your interactions with NOAA’s SBIR program?
__ Very satisfied
__ Somewhat satisfied
__ Neither satisfied nor dissatisfied
__ Somewhat dissatisfied
__ Very dissatisfied
To what extent do you agree with the following statements?
|
Strongly agree |
Somewhat agree |
Somewhat disagree |
Strongly disagree |
Not applicable |
The SBIR program was essential to the success of my product/technology |
⃝ |
⃝ |
⃝ |
⃝ |
⃝ |
NOAA’s assistance was valuable |
⃝ |
⃝ |
⃝ |
⃝ |
⃝ |
NOAA’s funding was adequate for the awarded phase of development |
⃝ |
⃝ |
⃝ |
⃝ |
⃝ |
Are there any additional comments or feedback that you would like to provide? {open-ended text response}
C-
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Lou Nadeau |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |