Institutional Contacts

SED Missing Information Roster

Please complete and return by xx/xx/xxxx to the National Science Foundation c/o RTI International Survey of Earned Doctorates Upload to ICAT https://sed-ncses-icat.org/ Phone 1-877-256-8167 Email: [email protected]

Citizenship Type: 1= U.S. Native 2= U.S. Naturalized 3= U.S. Type Unknown 4= Non U.S. Perm Resident ("Green Card") 5= Non U.S. Temp Visa Resident 6= Non U.S. Resident; Status Unknown

Race: (Select one or more) 1= American Indian or Alaska Native 2= Native Hawaiian or Pacific Islander 3= Asian 4= Black or African American 5= White

Hispanic: 1=No, not Hispanic 2=Yes, Mexican or Chicano 3=Yes, Puerto Rican 4= Yes, Cuban 5= Yes, other Hispanic, specify/Yes, Hispanic origin unknown

Bachelor's Institution: US: Name/City or Branch Foreign: Name/Country No B.A.: "No B.A."

X = Information already received

DOCTORAL

BIRTHDAY

CITIZENSHIP

HISP

BACHELORS INSTITUTION

BA

DOCTORAL

POST DEGREE LOCATION

SCHOOL ID

SU_ID

STUDENT

DEGREE DATE

MON

DAY

YEAR

SEX

TYPE

COUNTRY

RACE

CODE

OTHER SPECIFY

NAME

LOCATION

YEAR

FIELD OF STUDY

IN U.S. VS. OUT OF U.S.?

12345

16111111

Student A name

Aug-16

X

12345

16111112

Student B name

Aug-16

X

12345

16111113

Student C name

Dec-16

X

12345

16111115

Student D name

May-17

X

This form is part of the administration of the Survey of Earned Doctorates (SED), conducted by the National Science Foundation (NSF). This information is solicited under the authority of the National Science Foundation Act of 1950, as amended. All information provided will be used for research or statistical purposes only and is protected under the NSF Act and the Privacy Act of 1974. Response is voluntary and failure to provide some or all of the information will not adversely affect your institution. The time needed to complete this form varies according to institution circumstances. It is estimated that all SED activities require no more than 20 hours of an Institutional Coordinator’s time per year. Response burden comments should be directed to the National Science Foundation, 4201 Wilson Blvd. Suite 295, Arlington, VA 22230, Attn: NSF Reports Clearance Officer.

Form approved:  OMB No. 3145-0019,  Expires <DATE>