Form 1 STEP UP survey screenshot

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

STEP UP OMB clearance attachment_survey instrument

Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students

OMB: 0925-0648

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0925-0648 can be found here:

2023-08-25 - No material or nonsubstantive change to a currently approved collection
2021-05-21 - Extension without change of a currently approved collection

Document [docx]

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Attachment 1: Participant Survey

This attachment includes screenshots for each part of the participant survey. The same survey will be used in the evaluation of STEP-UP and DSRTP. However, the name of the program in each question will reflect the program in which the respondent participated.

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Alexandra Stone
File Modified	0000-00-00
File Created	2021-02-19