Form 4 survey

OMB# 0925-xxxx

Exp: mm/dd/2yyy

Attachment 3d

Materials for Expert Panel

Public reporting burden for this collection of information is estimated to average 60 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, MD 20892-7974, ATTN: PRA (0925-xxxx). Do not return the completed form to this address.

Rationale:

The goal of this assignment is to ascertain whether the scientific ideas funded through the NDPA mechanism are pioneering; that is, are they creative, innovative, and high-risk and whether they have the potential for high impact? We would like you to rank the enclosed summary without knowledge of its funding source. Your ranking, along with others, will be used for the outcome evaluation of the NDPA program.

Instructions:

Please read the attached information about a pioneer and answer the questions that follow. If you recognize the author of the summary or have any other knowledge that could affect your judgment, please do not rank the summary and let us know. You would not have to provide a reason for your decision; we will simply send you another summary.

Summary:

[Insert text]

Question 1. How would you score the research proposed according to the following criteria:

	Not at all					Very much so
Creative	1	2			3		4	5
Innovative	1	2			3		4	5
High Risk	1	2			3		4	5
Potential for High Impact	1	2			3		4	5

Please feel free to share any comments:

Question 2. In your opinion, would this research idea be funded through an R01 mechanism?

____ Yes

____ No. Why not?

Question 3: How would you evaluate the potential impact of the proposed idea?

	Limited	Moderate	High
On the applicant’s research field	1	2	3
On another research field	1	2	3
On diagnosis and treatment of disease	1	2	3
Other: _________________________	1	2	3

Question 4: Please describe why you do or do not think the research is pioneering?

2