Form 1 LRP Ambassador Feedback

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

Instrument - LRP Ambassador Feedback

LRP Ambassador Feedback

OMB: 0925-0648

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OMB Number 0925-0648 Exp Date: 03/31/2018


Public reporting burden for this collection of information is estimated to average 10 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 (0925-0361).  Do not return the completed form to this address.



LRP Ambassador Satisfaction Survey


Thank you for taking the time to share information with us about your satisfaction with the LRP Ambassador Program. Your response is important, even if you didn’t use any of the Ambassador resources.


  1. Overall, how satisfied are you with the resources that you’ve received in support of the LRP Ambassador Program?

____ Very satisfied

____ Somewhat satisfied

____ Neither satisfied nor dissatisfied

____ Somewhat dissatisfied

____ Very dissatisfied



  1. During the recent LRP application period (September-November), did you use any of the following resources to inform potential applicants about the Loan Repayment Programs at NIH?



Resource


No


Yes


Reviewed the LRP Ambassador Toolkit




Informally shared information about the LRP during casual conversations with potential applicants




Put the LRP poster on your office door or wall




Forwarded or sent emails about the LRPs, application dates, etc. received from NIH to potential applicants




Forwarded Facebook or Twitter messages about the LRPs, application dates, etc. to potential applicants




Gave a presentation about the LRPs to potential applicants based on the LRP slide presentation or toolkit




Shared your LRP experience in a one-on-one conversation with a potential applicant




Counseled individual applicants about their LRP applications


Other: Please describe:








  1. Approximately how many prospective LRP applicants did you reach?



  1. What suggestions, if any, do you have for improving the LRP Ambassador Program?


















File Typeapplication/msword
File TitleGeneric Clearance Submission Template
SubjectGeneric Clearance Submission Template
AuthorOD/USER
Last Modified ByFountain, Marisa (NIH/OD) [E]
File Modified2016-10-26
File Created2016-10-26

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