Form 1 LRP Survey for Applicants Form C-Screenshots

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

LRP Survey for Applicants Form C - Screenshots

The NIH Extramural Loan Repayment Programs: Online Post-Application Customer Service Survey for Applicants – Form C

OMB: 0925-0648

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NIH Loan Repayment Programs Post-Application
Survey for Applicants Form C
3/2018

OMB# 0925-0648
Expiration Date:

Public reporting burden for this collection of information is estimated to be 4 minutes, 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 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 (0925-0648). Do not return the
completed form to this address.
* 1. This survey is voluntary and asks for opinions only about your experience with the NIH Loan Repayment
Programs (LRP) Application Process. Please check "Continue" below to start the survey or close your
browser if you do not want to participate in this survey.
Continue

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NIH Loan Repayment Programs Post-Application
Survey for Applicants Form C
3/2018

OMB# 0925-0648
Expiration Date:

* 2. Please choose the category that best describes you.
You are a first time LRP applicant and have never received an award
You applied to the LRP before but never received an award
You have received at least one LRP award

* 3. To which LRP did you apply?
Clinical Research
Pediatric Research
Contraception and Infertility Research
Health Disparities Research
Clinical Research for Researchers from Disadvantaged Backgrounds

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4. Aside from the need to reduce your debt, how important were the following factors in your decision to
apply to the LRP?
Not at All
Important

Somewhat
Important

Moderately
Important

Very
Important

Extremely
Important

N/A

Encouragement from a
mentor/supervisor:
Colleague had a good
experience with the
LRP:
Helpful interaction(s)
with staff
from the LRP
Information
Center (phone or
email):
Helpful interaction(s)
with an
LRP Liaison or Program
Officer at one of the
NIH Institutes or
Centers:
Helpful information on
the
LRP website:
Encouragement or
helpful
information from an
LRP Ambassador:
Success stories on the
LRP website:
Clarity of the LRP
website
(e.g., eligibility or
application
requirements were
easy to
determine):
Other (please specify):

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5. Please rate the following elements of the LRP website regarding how easy the information was tofind.

Not at all easy

Somewhat easy Moderately easy

Very easy

No opinion / NA /
Don't
Extremely easy
Remember

Definitions of the LRPs
Eligibility requirements
Steps to application
review after submission
Key dates
Which application
components you needed
to prepare
Repayment calculations
of amount of loan
repayment you might
receive if you received
an award
Definitions of important
terms like "mentored
Scientist," "debt-toincome ration,"
"Institutional Business
Official," etc.
Research commitment
requirement
Loan eligibility
information
Information about
creating and using a
password for the LRP
online application system
Information about
important first steps
before starting an online
application

4

6. Please rate the following elements of the LRP website regarding how easy the information was to
understand.

Not at all easy

Somewhat easy Moderately easy

Very easy

No opinion / NA /
Don't
Extremely easy
Remember

Definitions of the LRPs
Eligibility requirements
Steps to application
review after submission
Key dates
Which application
components you needed
to prepare
Repayment calculations
of amount of loan
repayment you might
receive if you received
an award
Definitions of important
terms like "mentored
Scientist," "debt-toincome ration,"
"Institutional Business
Official," etc.
Research commitment
requirement
Loan eligibility
information
Information about
creating and using a
password for the LRP
online application system
Information about
important first steps
before starting an online
application

5

7. Some LRP applicants experienced technical problems during the application period. Please indicate
below if you experienced any of these problems. [Choose all that apply]
Finding or clicking the upload button for files like the research plan, etc.
Getting the upload button for files to work
Referee/Recommender/IBO/Mentor contact information couldn't be added easily
NIH systems not validating the Commons ID you entered
Unable to see the Application Status page
Your local internet provider blocked some NIH URLs, including the LRP OAS
There was a delay in sending automated emails to a Referee/Recommender
The Send Again button for automated emails to go to a Referee/Recommender or IBO didn't work
The Submit Application button wasn't available while logged in with your open ID (i.e., not Commons ID)
Unable to change your application/award type or program via the checkbox banner at the top of the application
Other (please specify):

6

NIH Loan Repayment Programs Post-Application
Survey for Applicants Form C
3/2018

OMB# 0925-0648
Expiration Date:

8. Overall, how easy was it to use the LRP website?
Not at All
Easy

Somewhat
Easy

Moderately
Easy

Very
Easy

Extremely
Easy

No opinion / NA /
Don't
Remember

Overall experience:

9. What were the best aspects of the LRP website?
1st
2nd
3rd

10. What specific things could be improved about the LRP website?
1st
2nd
3rd

11. Do you know someone who was thinking about applying to one of the LRPs during the Sept.-Nov., 2016
application cycle (for FY 2017 awards) but didn't?
No
Yes

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* 12. To the best of your knowledge, why didn't they apply?[Choose all that apply]
You don't really know
They didn't know that the LRP offered additional (i.e., renewal awards) after the first one
They weren't certain that they might be eligible, and never found out one way or another
They were *certain* that they weren't eligible
Timing - they were going out on the job market and therefore didn't know where they would be next year or the year after
They meant to but time got away from them and the application period closed
They felt submitting an application for an LRP renewal award was not a good use of their time
Their current research position was being terminated and they *could not* line up another research position in time
Their current research position was being terminated and they *did not want* to get another research position
They decided to change job or career path to something that was not research-intensive or research-related
They were participating in another loan payment or forgiveness program and *no longer needed* the financial help of the LRP
Their debt was completely repaid by another means
Other:

13. What is that other loan payment or forgiveness program?[Choose all that apply]
You don't really know
Federal Public Service Loan Forgiveness (PSLF) Program
Federal Income-Based Repayment (IBR) Program
Federal Clinician's Use (CU) Program
State Public Service Payback
Other (please specify):

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File Typeapplication/pdf
File TitleView Survey
File Modified0000-00-00
File Created2016-12-01

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