2 iCURE Scholars survey

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

iCURE Scholars Survey (6)

Participant and Mentor Surveys for the Intramural Continuing Umbrella of Research Experiences (iCURE) Program (NCI)

OMB: 0925-0642

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iCURE Scholars Survey – Screenshots



OMB No.: 0925-0642

Expiration Date: 05/31/2020

Public reporting burden for this collection of information is estimated to average 30 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 (0925-0642). Do not return the completed form to this address.

iCURE Scholars Survey

Thank you for taking the time to provide your feedback regarding your iCURE experience. The information you provide will remain secure to the extent permitted by law – no individual responses will be shared with the iCURE management team, your PI, Daily Supervisor, or other persons associated with your research lab. All information will be reported in aggregate and will be used to make changes and improvements to the iCURE program as appropriate and possible. If you have any questions you may contact Fred Snyder, Senior Evaluation Research at [email protected].

By continuing with this survey you agree to participate in the iCURE program survey.



Click here to launch the iCURE Scholars Survey

Figure 1. Survey launch page, with persistent header.

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Figure 2. Survey ID

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Figure 3. Survey ID Confirmation

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Figure 4. Survey Instructions Information Element

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Figure 5. Question 1

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Figure 6. Question 2

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Figure 7. Question 3

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Figure 8. Question 4

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Figure 9. Question 5

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Figure 10. Question 6

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Figure 11. Question 7

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Figure 12. Question 8

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Figure 13. Question 9

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Figure 14. Question 10

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Figure 15. Question 11

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Figure 16. Question 12

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Figure 17. Question 13

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Figure 18. Question 14

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Figure 19. Question 15

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Figure 20. Question 16

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Figure 21. Question 17

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Figure 22. Question 18

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Figure 23. Question 19

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Figure 24. Question 20

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Figure 25. Question 21

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Figure 26. Question 22

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Figure 27. Question 23

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Figure 28. Survey Complete Screen

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBenjamin Neal
File Modified0000-00-00
File Created2021-01-14

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