Form 1 2021 NIH Regional Seminar Registration

Registration Questions – NIH Virtual Seminar on Program Funding and Cost Administration
OMB# 0925-0740
Expiration Date: 07/2022
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Registration Questions – NIH Virtual Seminar on Program Funding and Cost Administration

The following questions are requested at the time of the initial registration to gain access to the event platform. Items
noted with * are required fields.
*First Name:
*Last Name:
*Email Address:
*Organization Name:
*Job Title:
*State:
*Country:
*What type of organization(s) are you affiliated with?
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University/College (large NIH grant portfolio)
University/College (no or small NIH grant portfolio)
Historically Black College/University (HBCU)
Small Business
Non-Profit
Hospital
State Government
Federal Government
Foreign Organization
Not Affiliated

*Job Role/Classification:
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New/Early Stage Investigator
Experienced Investigator (have/had R01 or other substantial funding)
Research Trainee or Postdoc
Department Administrator
Program Administrator
Financial Officer
Office of Sponsored Programs
Grant Writer
IRB Reviewer
IRB Administrator
Business Owner
Federal Staff
Other (Please Specify) ____________

*How much experience do you have working with NIH?
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None
New to working with NIH (less than a year)
1-4 years
5+ years

If involved in grants administration, which areas do your duties fall in? (check all that apply)
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Pre-award
Post-award
Financial
Compliance
Other (Please Specify) ____________
Not applicable

When was the last time you attended the seminar?
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Never before
Attended last year
Attended 2-4 years ago
Attended 5+ years ago

*How did you hear about the seminar?
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My institution
Previous attendee/word of mouth
NIH website
Nexus/Open Mike
NIH Guide notice
Attended a previous NIH grants seminar
Social Media
Listserv
Professional Organization
Other (Please Specify) ____________

*1:1 Meet the Experts (15-minute personal chats) are available with NIH experts. What type of experts are you most likely to make
an appointment with? (check all that apply)
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Program Officer
Review Official
Grants Management Officer
Policy Officer
No current plans, but may change my mind later

* Are there specific NIH Institutes or Centers you would like to speak with or learn more about? (check all that apply)
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All – general interest across NIH
Center for Scientific Review (CSR)
Fogarty International Center (FIC)
National Cancer Institute (NCI)
National Center for Advancing Translational Sciences (NCATS)
National Center for Complementary and Integrative Health (NCCIH)
National Eye Institute (NEI)
National Heart, Lung, and Blood Institute (NHLBI)
National Human Genome Research Institute (NHGRI)
National Institute on Aging (NIA)

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National Institute on Alcohol Abuse and Alcoholism (NIAAA)
National Institute of Allergy and Infectious Diseases (NIAID)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Institute of Biomedical Imaging and Bioengineering (NIBIB)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
National Institute on Deafness and Other Communication Disorders (NIDCD)
National Institute of Dental and Craniofacial Research (NIDCR)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
National Institute on Drug Abuse (NIDA)
National Institute of Environmental Health Sciences (NIEHS)
National Institute of General Medical Sciences (NIGMS)
National Institute of Mental Health (NIMH)
National Institute on Minority Health and Health Disparities (NIMHD)
National Institute of Neurological Disorders and Stroke (NINDS)
National Institute of Nursing Research (NINR)
National Library of Medicine (NLM)

PROPOSED OPTIONAL ATTENDEE PROFILE QUESTIONS
The following profile fields are completely voluntary for the attendee. It is completed in the platform and not a
requirement for registering for the event. The purpose is for attendees to provide this optional information for
maximizing networking and engagement opportunities.
Photo
First Name (pre-populated field from registration)
Last Name (pre-populated field from registration)
Job Title (pre-populated field)
Organization Name (pre-populated field from registration)
Organization Website URL
Organization Street Address
City
State
Zip
Contact information
• Work Email
• Other Email
• Phone
Social Media Info
• LinkedIn
• Twitter
• Blog
• Website
• Facebook
Keywords
Bio
Interested in networking with peers to discuss challenges, best practices, or strategies? Select the topics you’d be interested in
discussing and find others with similar interests when using the chat feature.
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Budget/financial activities
Experience using ASSIST for application submission
Experience using system-to-system solutions for application submission
Experience using Workspace for application submission
General experiences with the NIH grants process

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Grant writing tips
Identifying appropriate funding opportunities and programs
Navigating the peer review process
Networking with staff/investigators at Emerging Research Institutions
Networking with staff/investigators at HBCUs
Networking with staff/investigators at international organizations
Post-award activities
Pre-award activities
Working with human participants
Working with animal models