Intake: Additional Funds Received Survey

Intake: Additional Funds Received Survey

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Q1 NSF Engines Intake Questionnaire on Additional Funds Received

Background

Innovations in science and engineering have enabled the United States to become a world-leading economy, powered by a well-trained scientific and technical workforce. To ensure the United States remains at the vanguard of competitiveness, the United States must rapidly expand its innovation capacity by leveraging the resources, creativity, and ingenuity of every region of the country. The NSF Regional Innovation Engines (NSF Engines) program aims to expand and accelerate scientific and technological innovation within the United States by catalyzing regional innovation ecosystems throughout every region of our Nation to create a future in which all sectors of the American population can participate in and benefit from advancements in scientific research and development equitably to advance U.S. global competitiveness and leadership.

This intake questionnaire is designed to enable each NSF Engine to identify and report non-programmatic activity related investments, donations, funding, etc. received or obtained by the Engine. The primary use of the data collected is to inform and enhance the NSF Engines program, so to allow NSF to better serve its community and stakeholders. Data collected from this intake questionnaire will be made available to the external evaluation team of each Engine awardee.

Questions regarding the survey can be directed to [email protected].

Pursuant to 5 CFR 1320.5(b), an agency may not conduct or sponsor, and a person is not required to respond to an information collection unless it displays a valid OMB control number. The OMB control number for this collection is 3145-XXXX. Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions. Send comments regarding this burden estimate and any other aspect of this collection of information, including suggestions for reducing this burden, to: Suzanne H. Plimpton, Reports Clearance Officer, National Science Foundation, 2415 Eisenhower Ave., Suite W18200, Alexandria, VA 22314; telephone (703) 292-7556; or send email to [email protected].

Q2 Please select the NSF Engine for which you are entering information.

• NSF Engines: Central Florida Semiconductor Innovation Engine

• NSF Engines: Colorado - Wyoming Climate Resilience Engine

• NSF Engines: Great Lakes Water Innovation Engine

• NSF Engines: Louisiana Energy Transition Engine

• NSF Engines: North Carolina Textile Innovation and Sustainability Engine

• NSF Engines: North Dakota Advanced Agriculture Technology Engine

• NSF Engines: Paso del Norte Defense and Aerospace Innovation Engine

• NSF Engines: Piedmont Triad Regenerative Medicine Engine

• NSF Engines: Southwest Sustainability Innovation Engine

• NSF Engines: Upstate New York Energy Storage Engine

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Q3 Please indicate to which of the following categories the additional funds you are reporting belong.

The additional funds were obtained through:

• A donation

• An investment

• A competitive funding opportunity

Q4 Please estimate (to the nearest thousand) the monetary value of the additional funds received.

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Q5 Please select the category that best describes the entity that provided the additional funds.

• Venture capital

• Angel investor

• Venture philanthropy

• Local government

• State government

• Federal government

• Other (please specify)___________________

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If answer option “An investment” is selected in Q3

Q6 Please describe the terms and conditions under which the investment was made.

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Q7 Please click the button below to submit your entry. Once you do so, you will be re-directed to a new survey should you would wish to enter another entry for programmatic activities.

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