SRP Data Collection Tool (Superfund Research Program)

Welcome to the SRP Data Collection Tool

The Data Collection Tool is a platform grantees can use to notify SRP about recent grantee activities that may be newsworthy. Use of the Data Collection Tool is optional.

We hope that you will find the form to be easy to use. If you have questions about content, please contact Michelle L. Heacock at heacockm@mail.nih.gov or 984-287-3267. If you have questions about the form, or suggestions for improvements, contact Lynn Albert at albert@niehs.nih.gov or 919-794-4709 or Adeline Lopez at adeline.lopez@nih.gov or 919-213-4902.

NOTE: When completing this form please only use English letters, numbers, and the following symbols:
. , : ; ? & ' $ @ # _ - + * = / \ () [ ]
HTML tags are NOT allowed.

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 (0925-0648). Do not return the completed form to this address.

All required fields have the word (Required) after the label.

Your Contact Information

Your Name (Required)

Email address (Required)

Program/Project Selection(s)

To begin, click on the name of your program from the drop-down list below. An additional drop-down box will appear for Multiproject Center Grants, with the names of the projects and cores in your program. You can select more than one project.

Program (Required)

Check this box if you do not want SRP to share the information with other grantees or stakeholders (e.g., pre-publication data, results presented in an embargoed paper) (Optional)

If you are reporting on a trainee or alumni accomplishment, please remember to also enter the information in CareerTrac.

Tool/Output

Please submit outreach, education, and translation materials that your program has created to the PEPH Resource Center at https://connect.niehs.nih.gov/peph.

If you need account access to the PEPH Resource Center, or have questions about the Resource Center, please contact William McLean (william.mclean@nih.gov) 919-213-4905.

Material Submitted: (Optional)

Activities

Please note: the activity type and science type fields have been combined.

Activity Type (Required)

If Other is selected for "Activity Type," please describe here (Optional)

Activity Title (Required)

Activity Start Month (Optional)

Activity Start Year (Optional)

Brief Summary (Required)

Link(s) to Resources (Optional)

Collaborations

Collaborating SRP Center (if applicable) (Optional)

Work with Native American communities? (Optional)

Climate Change and/or Disasters - does this involve research/activities related to climate change and/or natural/manmade disasters? (Optional)

Work with Environmental Justice? (Optional)

Datasets

If you have questions about the Datasets, please contact William McLean (william.mclean@nih.gov) 919-212-4905.

Dataset title (Optional)

Accession number (Optional) Unique dataset identifier such as accession number (e.g., GDS3325) or Data DOI (e.g., doi: 10.5061/dryad.b0v7h). Required, if "Dataset title" is filled in.

Dataset URL/link (Optional)

Creator/author (Optional)

Repository name (Optional) Required, if "Dataset title" is filled in.

If "Other Repository" is selected, enter repository name (Optional)

Publication PMID and/or DOI associated with this dataset

PubMed ID (PMID) (Optional)

Publication DOI (Optional)

Upload files?

Do you have any files to share? If yes, then you can upload up to 5 image, PDF, Word and/or Excel files.

To prevent spam, please answer the following math problem (use numbers):
Three add

Eight (Required)

If you have photographs or other documents you would like to share related to this activity, please email the files to srpinfo@niehs.nih.gov. After you click "Submit your entry" you will be taken to a page that lists all entries from this Web session. You will be able to view and edit your entries for 20 minutes or as long as your browser session is active.

Please note that this information request is being conducted based on questions from the Data Collection Survey (OMB No. 0925-0757, expiration December 31, 2024). Thank you for taking the time to provide this information!

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SRP Data Collection Tool