Form 1 NIEHS Simplified Form

OMB No. 0925-0757

Exp. Date 11/30/2021

Attachment B.

NIEHS Simplified Data Collection Form

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.

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.

Partnerships

Please describe any partnerships that you actively participated in:

Service on Advisory Boards or Panels

Please describe any service on advisory boards or panels:

Patents

Please describe any patent applications submitted or patent approvals received:

Tech Transfer Activities

Please describe any technology transfer activities you participated in, including field studies, partnerships, or validation studies.

Publications:

Please describe any high-impact publications you have published:

Workshops/Events

Please describe any workshops or trainings to disseminate your research findings:

Collaborations

Describe any collaborations your participated in:

Datasets

Describe any databases that have resulted from this research:

Title

Accession number

url/link

creator/author

repository name

PubMed ID/DOI

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