SUBMISSION OF INFORMATION COLLECTION
UNDER GENERIC CLEARANCES
DATE OF REQUEST: ___2/22/2013
SUB AGENCY (I/C): _____Office of the Director/Office of Extramural Research/Office of Extramural Programs/Division of Loan Repayment
TITLE: _Survey of Loan Repayment Program Participants
GENERIC CLEARANCE UNDER OMB# _0925-0627___________ EXP. DATE: ___2/28/2014
	The Division of Loan
	Repayment is proposing to conduct a follow-up survey of Loan
	Repayment Program (LRP) participants who went through our program
	from 2004-present.  It is anticipated that 1,800 subjects will
	complete the survey online, and potential subjects will be chosen in
	order to represent the heterogeneity of demographic characteristics
	of our LRP participants.  The survey will ask participants about
	their career status and experiences in the LRP.  Information from
	the survey will be used to help us improve and refine our
	interactions with, and responsiveness to, our customers; refocus the
	strategies that are used to accomplish our objectives; and identify
	areas in need of improvement and enhancement.  
	
	
TOTAL ANNUAL BURDEN APPROVED: 24,550
BURDEN USED TO DATE: 2,368
BURDEN THIS REQUEST: 600
IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?
______YES ______NO__X____N/A (DLR has already collected this information)
OBLIGATION TO RESPOND:
__X___ VOLUNTARY
______ REQUIRED TO OBTAIN OR RETAIN BENEFITS
______ MANDATORY
HOW WILL THIS SURVEY BE OFFERED?
__X__ WEB SITE
_____ TELEPHONE INTERVIEW
_____ MAIL RESPONSE
_____ IN PERSON INTERVIEW
_____ OTHER: ___________________________________
CONTACT INFORMATION:
NAME: __Jill Mattia, PhD
TELEPHONE NUMBER: ___301-435-6072
EMAIL ADDRESS: __jill.mattia@nih.gov
| File Type | application/msword | 
| File Title | Generic Clearance Form - 04/28/2008 | 
| Subject | Generic Clearance Form - 04/28/2008 | 
| Author | OD/USER | 
| Last Modified By | curriem | 
| File Modified | 2013-02-27 | 
| File Created | 2013-02-27 |