Volunteer Questionnaire

OMB NO.: 0524-0041

Dear volunteer,

Thank you for volunteering your service to USDA National Institute of Food and Agriculture (NIFA) and your community. Please take time to provide your information below as it will assist NIFA in identifying panelists and ensuring our peer review panels have the required expertise while being representative and diverse. The information you provide will be used by NIFA in selecting reviewers for grant applications submitted to NIFA programs. In addition, the contact information may be used to update records pertaining to active NIFA grant applications and grants. This information will not be used for any other purpose.

An asterisk (*) indicates a required field.
1.
Name basic details

(e.g. 202-456-1414)
2.
Degree
3. General expertise
 
4. Detailed expertise
 
 
5.
* Research/Education/Extension/Other appointment. Please classify the proportion of the function of your work: [term definitions]
 
  * On some browsers, it may be necessary to hold down either the CONTROL, APPLE, or SHIFT key to select multiple items
6.
Organization
Please choose from the list, or add your organization below if it is not on the list.
7.
Mailing info
Address for delivery by courier if different

(e.g. http://www.yourpage.esu.edu)
8.
Are you willing to provide written reviews of USDA/NIFA grant applications? Yes or No.
When? (Choose all that apply)



 

Privacy information: The information you provide will be used by NIFA in selecting reviewers for grant applications submitted to NIFA programs. In addition, the contact information may be used to update records pertaining to active NIFA grant applications and grants. This information will not be used for any other purpose.

Paperwork Reduction Act information: According to the Paperwork Reduction Act of 1995, 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. The valid OMB control number for this information collection is 0524-0041. The time required to complete this information collection 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.