OMB No.: 0925-0046
Expiration Date: 05/31/2016
Collection of this information is authorized by The Public Health Service Act, Section 411 (42 USC 285a). Rights of study participants are protected by The Privacy Act of 1974. Participation is voluntary, and there are no penalties for not participating or withdrawing from the study at any time. Refusal to participate will not affect your benefits in any way. The information collected in this study will be kept private to the extent provided by law. Names and other identifiers will not appear in any report of the study. Information provided will be combined for all study participants and reported as summaries. You are being contacted by email to complete this instrument so that we can evaluate the effectiveness of it.
Public reporting burden for this collection of information is estimated to average 5 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, MD 20892-7974, ATTN: PRA (0925-0046). Do not return the completed form to this address.
1) |
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Login process by the provided website was straightforward. |
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Yes |
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b. |
No |
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If “no” please add items missing
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2) |
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Uploading instructions were stated clearly. |
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a. |
Yes |
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b. |
No |
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If “no” please add items missing
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3) |
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Materials were uploaded without glitches. |
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a. |
Yes |
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b. |
No |
If “no” please describe the problem
4) |
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Confirmation of your submission was received. |
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a. |
Yes |
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b. |
No |
5) |
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No doubts remained about the submission being processed and received. |
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Yes |
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b. |
No |
Page
File Type | application/msword |
File Title | Multiple-choice test or survey kit (for creating 3, 4, or 5-answer questions) |
Author | Olivero, Ofelia (NIH/NCI) [E] |
Last Modified By | Currie, Mikia (NIH/OD) [E] |
File Modified | 2016-01-26 |
File Created | 2016-01-26 |