An official website of the United States government
The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Internet Explorer is no longer a supported browser.
This website may not display properly with Internet Explorer. For the best experience, please use a more recent browser such as the latest versions of Google Chrome, Microsoft Edge, and/or Mozilla Firefox. Thank you.
COVID-19 is an emerging, rapidly evolving situation.
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 Maureen Avakian at
avakian@niehs.nih.gov or 919-794-4701.
NOTE: When completing this form please only use English letters, numbers, and the following symbols: . , : ; ? & ' $ @ # _ - + * = / \ () [ ] HTML tags are NOT allowed.
All required fields have the word (Required) after the label.
Please note that this information request is being conducted based on questions from the Data Collection Survey (OMB No. 0925-0757, expiration November 30, 2021). Thank you for taking the time to provide this information!