Form 1 NIEHS Simplified Data Collection Form 2017

OMB No. 0925-0657

Exp. Date 07/31/2018

Attachment B.

NIEHS Simplified Data Collection Form

Please use this two-page form to provide highlights of your Center’s major achievements in recent months. Please provide any relevant website links where necessary, and provide as much detail as possible.

Grant Number:

Please provide the grant number for Center submitting this form:

News & Media:

Please list any recent publicity your Center’s research has received in the news and media (e.g., press releases, podcasts, interviews, etc.)

Awards:

Please list any recent awards that Center personnel, trainees, or students have received below.

Community Outreach & Engagement:

Please describe any noteworthy outreach projects that have resulted in the collection of data and/or creation of educational materials. Provide links where necessary.

Publications:

Please list recent high-impact publications. (Please consider limiting the list to 5-6 recent hihg-impact publications).

Career Development Highlights:

Please describe recent accomplishments of trainees.

Additional Highlights:

Please use the space below to list or describe any noteworthy highlights that have not already been addressed above.

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 (0925-0657). Do not return the completed form to this address.

On behalf of NIEHS, thank you for taking the time to provide this information.

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