Process Evaluation of the NIH Director's Early Independence Award Program (EIA)

Forms and Documents

Document Name	Status
Form Attachment A8.1 Online Survey for Point of Contact of Host Institutions Form and Instruction	New
Form Attachment A7 Phone Interview Questions for Point of Contact at Host Institutions Form and Instruction	New
Form Attachment A3.4 Customer Satisfaction On-line Survey for Applicants: Officials of Host Institutions Form and Instruction	New
Form Attachment A4 Paper Survey for Early Independence Principal Investigator Form and Instruction	New
Form Attachment A5 Phone Interview Questions for Early Indepenedence Prncipal Investigators Form and Instruction	New
Form Attachment A3.3 Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A & B) Form and Instruction	New
Form Attachment 6.1 On-line Survey for Early Indepenedence Principal Investigators Form and Instruction	New
Form 1 Process Evaluation of the EIA Program - Paper Survey Editorial Review Board Form and Instruction	New
Statement B - Early Independence Award Program 8-29-2012[1].doc Supporting Statement B	2012-09-13
Attachment A.11 - Letter from the NIH Privacy Officer.pdf Supplementary Document	2012-09-17
Attachment A.9 - List of members of the High-Risk High-Reward Working Group EIA Program.doc Supplementary Document	2012-09-17
Attachment A.1 - 2012 Request for Application (RFA).pdf Supplementary Document	2012-09-13
Attachment A.10 - Letter from the NIH Office of Human Subjec.pdf Supplementary Document	2012-09-13
Attachment B.2.2 - Protocols Online Survey POC Host Institution.doc Supplementary Document	2012-09-26
Attachment A.8 - Online Survey Point of Contact Host Institution.doc Supplementary Document	2012-09-17
Attachment B.4.2 - Protocol Phone Interview POC Host Institution.doc Supplementary Document	2012-09-26
Attachment B.1.2 - Protocols Customer Satisfaction Survey Host Institutions.doc Supplementary Document	2012-09-26
Attachment A.3.2 - Customer Satisfaction Online Survey for Applicants (Host Institutions).doc Supplementary Document	2012-09-17
Attachment B.3 - Protocol for Paper Survey EIA Principal Investigators.doc Supplementary Document	2012-09-26
Attachment B.4.1 - Protocol Phone Interview EIA Principal Investigator.doc Supplementary Document	2012-09-26
Attachment B.1.1 - Protocols Customer Satisfaction Survey Applicant.doc Supplementary Document	2012-09-26
Attachment A.3.1 - Customer Satisfaction Online Survey for Applicants (Principal Investigators).doc Supplementary Document	2012-09-17
Attachment B.2.1 - Protocols Online Survey EIA Principal Investigator.doc Supplementary Document	2012-09-26
Attachment A.6 - Online Survey EIA Principal Investigators (Versions A & B).doc Supplementary Document	2012-09-17
Statement A - Early Independence Award Program 9.26.2012.doc Supporting Statement A	2012-09-26

IC Document Collections

IC ID	Document Title	Status
204299	Online Survey for Point of Contact of Host Institutions Form and Instruction	New
204298	Phone Interview Questions for Point of Contact at Host Institutions Form and Instruction	New
204297	Customer Satisfaction On-line Survey for Applicants: Officials of Host Institutions Form and Instruction	New
204296	Paper Survey for Early Independence Principal Investigator Form and Instruction	New
204295	Phone Interview Questions for Early Indepenedence Prncipal Investigators Form and Instruction	New
204294	Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A & B) Form and Instruction	New
204293	On-line Survey for Early Indepenedence Principal Investigators Form and Instruction	New
204292	Process Evaluation of the EIA Program - Paper Survey Editorial Review Board Form and Instruction	New

ICR Details

OMB Control No: 0925-0665	ICR Reference No: 201209-0925-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Process Evaluation of the NIH Director's Early Independence Award Program (EIA)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/12/2012
	Date Received in OIRA: 09/27/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved
Responses	399	0	0
Time Burden (Hours)	158	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This study is to document the program operations and activities of the NIH Early Investigator Awards Program, in order to improve the program and guide future strategic and management decisions. Information will be collected from appplicants, extramural reviewers, and awardees. Two online customer satisfaction surveys will be used to collect information from applicants, a paper survey will be used for information collection from reviewers, and a paper survey, phone interviews, and online surveys will be used for information collection from Program awardees.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 35408	06/13/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 56853	09/14/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Process Evaluation of the EIA Program - Paper Survey Editorial Review Board	1	Paper Survey for Editorial Board Reviewers
On-line Survey for Early Indepenedence Principal Investigators	Attachment 6.1	Screen shots of Online Survey for EI-PI
Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A & B)	Attachment A3.3	Screenshots of Customer Satisfaction Online Survey: PI (Ver A&B)
Phone Interview Questions for Early Indepenedence Prncipal Investigators	Attachment A5	Phone Interview Questions for EI-PI
Paper Survey for Early Independence Principal Investigator	Attachment A4	Paper Survey for EI-PI
Customer Satisfaction On-line Survey for Applicants: Officials of Host Institutions	Attachment A3.4	Screenshots for Customer Satisfaction On-line Host Survey
Phone Interview Questions for Point of Contact at Host Institutions	Attachment A7	Phone Interview Questions for Host Institutes
Online Survey for Point of Contact of Host Institutions	Attachment A8.1	Screenshots for Online survey for POCs @Host Institutions

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	399	0	0	399	0	0
Annual Time Burden (Hours)	158	0	0	158	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $55,313

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/27/2012

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