National Science Foundation Research Traineeship (NRT) Program - Co-PI and Faculty Instrument

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U.S. National Science Foundation Research Traineeship (NRT) Program

Co-Principal Investigator (Co-PI) and Other Faculty Instrument
Version: Draft
Prepared by CBS and NSF

This instrument is filled out by individuals designated in the Project Instrument as a Co-PI or Faculty on the NRT award.


The public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, gathering data to answer the questions, and responding to the questions. An agency may not conduct or sponsor a collection of information unless it displays a currently valid OMB number, nor may it collect individuals’ responses unless the number is displayed. The burden number for this collection is 3145-0263. Send comments regarding this data collection or burden estimate to Suzanne H. Plimpton, Reports Clearance Officer, National Science Foundation, 401 Dulany Street, Alexandria, Virginia 22314; telephone (703) 292–7556; or send an email to [email protected].
    1 Table of Contents
1	Table of Contents	1
2	Conventions in this document	2
3	CO-PI and Other Faculty Instrument	5
3.1	Name and Contact Information	6
3.2	Demographics	8
3.3	Products	12

    1. 
    2 Conventions in this document
The conventions described below are an attempt to render dynamic UI elements and interactive content and behaviors in this static word document.

Radio Button (select one in the group)

Checkbox (select any in the group)


Textbox (enter text)
Option 1
Option 2
Option 3

Dropdown box (Select one)
Searchable list of things

A search box that will narrow the results as the user types, e.g., states and countries
Date Picker

When the user selects the control a date picker will appear. They can also enter the date via the keyboard.
Single Add

As the user types a list of matching values will appear in a dropdown list. The user can click on an entry in the list, and it will be added to the textbox in a pill format. If the string of characters is new the user can hit tab/enter and the new value will also turn into a pill.

Multi Add

Same as Single Add but the user will then be able to enter further values. This is an example:

[Button]
A button that performs an action. Added for context around managing lists and final submit
<Information>
Text in angle brackets is inserted by the system and is read-only.
[Read only]
These data are read-only and can only be changed by contacting support.
[Read only after first year]

The data are read-only after the first year. After the first year these data can only be changed by contacting support
[Preloaded]
These data are pre-loaded at the beginning of the reporting period.
[Copied]
These data are copied from the previous year when preparing for a new reporting period.
[Change management]
These data are subject to other rules when they change.
{Skip Ref A-Z}
Indicates that a response to this question affects other questions after it.
{Skip when A-Z}
Indicates that the question should be skipped if the skip reference meets a certain criterion
This is instructional text
Instructions to the respondents


    3 CO-PI and Other Faculty Instrument
        3.1 Name and Contact Information
            3.1.1 First Name
Required
Limit 50 characters
[Copied]
[Read only]
[Change management]

            3.1.2 Middle Initial or Name
[Copied]
[Read only]
[Change management]

            3.1.3 Last Name
Required
Limit 50 characters
[Copied]
[Read only]
[Change management]

            3.1.4 Email Address
[Copied]
[Read only]
[Change management]
Required
Limit 200 characters

            3.1.5 Role in Project:
Select one.
Required
[Read only]
[Copied]

Co-PI

Faculty Participant
            3.1.6 Institution Name
Required
Limit 200 characters
[Copied]

            3.1.7 Title
Required
[Copied]
Professor
Associate Professor
Assistant Professor
Instructor
Other {Skip ref A}
            3.1.8 If other title, please specify:
Limit 100 characters
{Skip if A is not “Other”}
[Copied]

            3.1.9 Department at Institution
Required
Limit 200 characters
[Copied]

            3.1.10 Institution’s City
Required
Limit 200 characters
[Copied]

            3.1.11 Institution’s State
Required
[Copied]
Searchable dropdown containing all states
            3.1.12 ZIP Code
Required
Limit 5 characters
[Copied]

            3.1.13 Phone (xxx-xxx-xxxx)
Required
Limit 10 characters
[Copied]

            3.1.14 Extension
Limit 5 characters
[Copied]

            3.1.15 ORCID
[Copied]

            3.1.16 Personal or Professional Profile/Presence Online (LinkedIn or similar preferred)
[Copied]


        3.2 Demographics

            3.2.1 What is your race and/or ethnicity?
Select all that apply and enter additional details in the spaces below.
[Copied]

 American Indian or Alaska Native – Enter, for example, Navajo Nation, Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, Aztec, Maya, etc.

.


 Asian –Provide details below.
    • Chinese
    • Asian Indian
    • Filipino
    • Vietnamese
    • Korean
    • Japanese

Enter, for example, Pakistani, Hmong, Afghan, etc.



 Black or African American –Provide details below.
        ◦ African American
        ◦ Jamaican
        ◦ Haitian
        ◦ Nigerian
        ◦ Ethiopian
        ◦ Somali

Enter, for example, Trinidadian and Tobagonian, Ghanaian, Congolese, etc.



 Hispanic or Latino –Provide details below.
    • Mexican
    • Puerto Rican
    • Salvadoran
    • Cuban
    • Dominican
    • Guatemalan

Enter, for example, Colombian, Honduran, Spaniard, etc.

 

 Middle Eastern or North African –Provide details below.
    • Lebanese
    • Iranian
    • Egyptian
    • Syrian
    • Iraqi
    • Israeli

Enter, for example Moroccan, Yemeni, Kurdish, etc.


 Native Hawaiian or Pacific Islander –Provide details below.
        ◦ Native Hawaiian
        ◦ Samoan
        ◦ Chamorro
        ◦ Tongan
        ◦ Fijian
        ◦ Marshallese

Enter, for example, Chuukese, Palauan, Tahitian, etc.




 White –Provide details below.
    • English
    • German
    • Irish
    • Italian
    • Polish
    • Scottish

Enter, for example, French, Swedish, Norwegian, etc.



I prefer not to answer
            3.2.2 What sex were you assigned at birth, on your original birth certificate?
Required
[Copied]


Male


Female




            3.2.3 Disability Status
Select one.
Required
[Copied]



Yes (Check yes if any of the following apply):
Deaf or serious difficulty hearing
Blind or serious difficulty seeing even when wearing glasses
Serious difficulty walking or climbing stairs
Difficulty dressing or bathing
Because of a physical, mental, or emotional condition, have serious difficulty concentrating, remembering or making decisions
Because of a physical, mental, or emotional condition, have difficulty doing errands alone such as visiting a doctor’s office or shopping

No

I prefer not to answer
            3.2.4 Veteran Status: Are you now on full-time active duty with the U.S. Armed Forces? Have you ever served on active duty in the U.S. Armed Forces, military Reserves, or National Guard?
Note: A veteran is a person who served in the active military, naval, or air service and who was discharged or released under conditions other than dishonorable (Title 38 of the Code of Federal Regulations)
Select one.
Required
[Copied]

Yes (Check “Yes” if you can answer yes to either of the above questions.)

No

I prefer not to answer


        3.3 Products

The products are defined in the NRT Instrument – Project.docx file. Please comment on them in there. 

CO-PI/Faculty will enter their own products and/or import them from the ORCiD database. The PI/PC will curate the final list of products for the project.