NASA Grant Application Demographic Data

Forms and Documents

Document Name	Status
Form NASA Form 1839 Research and Related Personnel Data Form and Instruction	Modified
2700-0161 justification for nonsubstantive change.docx Justification for No Material/Nonsubstantive Change	2019-11-13
2700_0161_Research and Related Personal Data Supporting Stmt. as of 6-17-19.docx Supporting Statement A	2019-06-17
2700-0161 30_day Notice.pdf Supplementary Document	2018-10-29
2700-0161 60_day Notice.pdf Supplementary Document	2018-10-29

IC Document Collections

IC ID	Document Title	Status
218081	Research and Related Personnel Data Form and Instruction	Modified

ICR Details

OMB Control No: 2700-0161	ICR Reference No: 201911-2700-002
Status: Active	Previous ICR Reference No: 201905-2700-003
Agency/Subagency: NASA	Agency Tracking No:
Title: NASA Grant Application Demographic Data
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/13/2019
	Date Received in OIRA: 11/20/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	08/31/2022	08/31/2022
Responses	5,000	0	5,000
Time Burden (Hours)	417	0	417
Cost Burden (Dollars)	17,200	0	17,200

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Abstract: The Federal Government has a continuing commitment to monitor the operation of its review and award processes for grants, and identify/address potential inequities relative to the Civil rights laws of the United States. One of NASA's strategic goals is to ensure all qualified proposers are evaluated based solely on the quality of the proposal submitted. Through this information collection, NASA is requesting demographic data based on gender, race, ethnicity, and disability. The targeted respondents are the proposed Principle Investigators/Co-Investigators to ensure compliance with Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and NASA implementing regulations. Collecting this demographic data will provide insight into the grant award process at NASA. The collection of this information is consistent with practices at other agencies such as the NASA Science Foundation and the National Institutes of Health. Regarding the nonmaterial or nonsubstantive change to a currently approved collection, the pdf version of the NF-1839 form originally approved will not be used to collect responses and was a prototype for the electronic form that was developed. Screen shots of the electronic form are provided with this submission. There was no change to the supporting statement.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 152	08/07/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 204	10/22/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Research and Related Personnel Data	NASA Form 1839	Demograpphic Data Collection

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,000	5,000	0	0	0	0
Annual Time Burden (Hours)	417	417	0	0	0	0
Annual Cost Burden (Dollars)	17,200	17,200	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $37,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/20/2019

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