Att.A NIMH Peer Reviewer Registration- tracked changes

Att A_NIMH Peer Reviewer Registration_1.19.23_tracked.docx

Generic Clearance for NIH Citizen Science and Crowdsourcing Projects (OD)

Att.A NIMH Peer Reviewer Registration- tracked changes

OMB: 0925-0766

Document [docx]
Download: docx | pdf

Shape1



OMB# 0925-0766; Exp date 04/30/2023

Public reporting burden for this collection of information is estimated to average 15 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, Maryland 20892-7974, ATTN: PRA (0925-0766). Do not return the completed form to this address.


NIMH Peer Reviewer Registration

To fund the best mental health research, we need diverse and inclusive peer review committees. The National Institutes of Mental Health (NIMH) is looking to expand the pool of peer reviewers with mental health researchers who can bring diverse perspectives to the peer review process.

Successful applicants should:

  1. Have an academic and/or professional doctorate degree.

  2. Have at least 1 year of experience at the instructor level or higher. Post-doctoral fellows might be considered if they have at least 5 years of experience.

  3. Demonstrate evidence of an active research program through things like publications and funded research studies.

If you meet these qualifications, please fill out this registration form to be considered as a potential reviewer for NIMH.

* Required


  1. First Name *

Shape2

Enter your answer






  1. Last Name *

Shape3

Enter your answer


Shape4


  1. Work Address *

Shape5

Enter your answer






  1. Phone Number *

(Digits only)

Shape6

Enter your answer






  1. Email Address *

Shape7

Enter your answer






  1. Primary Institution *

Shape8

Enter your answer






  1. Secondary Institution

Shape9

Enter your answer


Shape10


  1. Degree *


PhD MPH MD

EdD DrPH DSW DVM

PsyD

Shape11

Other






  1. Title *


Professor


Associate Professor Assistant Professor Instructor

Research Scientist


Director

Shape12

Other


Shape13


  1. What is your area of expertise *


Acute Stress Disorder Addictive Disorders Adjustment Disorders African Americans

Agoraphobia AIDS

Alzheimer’s Disease


American Indian/Alaska Native Anhedonia

Animal models


Antisocial Personality Disorder Anorexia Nervosa

Anxiety


Asian Americans


Attention-Deficit/Hyperactivity Disorder Autism Spectrum Disorder

Avoidant Personality Disorder Binge Eating Disorder

Bioinformatics Biostatistics

Bipolar Disorder


Body Dysmorphic Disorder

Shape14 Borderline Personality Disorder Bulimia Nervosa

Calcium imaging


Cellular/Molecular Neuroscience Child and Maternal Health

Child and Adolescent Mental Health Clinical Trial

Conduct and Oppositional Defiant Disorder Community-Based Participatory Research Comorbid disorders

Computational Neuroscience Computational Psychiatry

Cross-Cultural Psychology and Psychiatry Decision making

Depression


Disruptive Mood Dysregulation Disorder Dissemination and Implementation

Eating Disorders


Ecological Momentary Assessment EEG

Electroconvulsive Therapy Electronic Health Records Electrophysiology

Ethnic Minority Mental Health

Shape15 Excoriation fMRI/MRI

Functional connectivity Gender Dysphoria

Generalized Anxiety Disorder Genomics

HAND (HIV-associated neurocognitive disorder) Health Care Policy

HIV


Hoarding Disorder


Implementation Science Intellectual Disorder

Internet Gaming Disorder Intracranial EEG

Generalized Anxiety Disorder Genetics

Habit formation


Health Services Delivery Latinx

Learning & memory LGBTQ

Major Depressive Disorder Machine Learning

MEG

Shape16 Mental Health Disparities Mental Health Services Microbiome

Mild Cognitive Impairment Mild Neurocognitive Disorder Mobile Health Technology

Narcissistic Personality Disorder Native Americans

Native Hawaiian/Pacific Islander Neural circuits

Neuroethics NeuroHIV

Neuroimaging


Neurological Disorders Neuromodulation

Non-Human Primate


Obsessive-Compulsive Disorder Panic Disorder

Paraphilic Disorders Parent Training

Pediatrics


Perinatal Mental Health


Personality Disorders (in general) Pharmaceuticals

Shape17 Pharmacokinetics


Posttraumatic Stress Disorder Psychometrics

Psychosis


Psychotherapy


Reactive Attachment Disorder Research Training Grants

Reward RDoC

Rodent


Schizophrenia


Schizotypal Personality Disorder School Mental Health

Separation Anxiety Disorder Sleep Disorders

Social Anxiety Disorder


Social Communication Disorder Software development

Somatic Symptom Disorder Specific Learning Disorder Specific Phobia

Statistics Stress

Substance Use Disorder

Shape18 Suicide


Systems Neuroscience TDCS/TACS

Tic Disorders TMS

Transcriptomics


Transition Aged Youth/Emerging Adults/College-Aged Youth Trauma

Trichotillomania Vertebrate Animals

Women’s Health





  1. Prior Peer Review Experience *


Yes No




  1. Please describe your experience

Shape19

Enter your answer


Shape20


  1. What diverse perspectives will you bring to the review panel?

Shape21

Enter your answer






  1. Shape22 In order to have a completed application, it is required that you submit a CV or Biosketch (Word or PDF format) to NIMH-

ReviewerGroup @groups.nih.gov. When emailing your CV, please do so using the same email address that you provided in item 5 above. Please check the Yes box below to indicate that you are aware of this *


Yes





  1. Shape23 Shape24 In order to have a completed application, it is required that you have a Commons Account. Please provide your Profile ID below (should be numerical characters) or click on the following link to establish one: https://www.era.nih.gov/erahelp/ams_new/#Create_Accounts/Create_

User_Accts/Create_Acct_External.htm *

Shape25

Enter your answer


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAbdelmouti, Tawanda (NIH/OD) [E]
File Modified0000-00-00
File Created2023-08-20

© 2024 OMB.report | Privacy Policy