Research and Related Personnel Data

[note: superscript indicates “Info” icon, table at end of document shows text displayed when hovering over each “Info” icon]

Demographics Data Collection

WHY THIS INFORMATION IS BEING COLLECTED:¹

Are you currently serving (or have previously served) as PI, Co-I/Science PI, Co-PI, or Co-PD on any federally funded project?*

Yes

No

Gender* (choose one)

Male

Female

I prefer not to report my gender

Ethnicity* (choose one)

Hispanic or Latino²

Not Hispanic or Latino

I prefer not to report my ethnicity

Race* (select one or more)

American Indian or Alaska native³

Asian⁴

Black or African American⁵

Native Hawaiian or Other Pacific Islander⁶

White⁷

Other

I prefer not to report my race

Disability status* (select one or more)

Hearing

Visual

Mobility/Orthopedic impairment

Other

None

Do not want to provide

What is your highest degree earned?* (choose one)

Bachelors⁸

Masters⁹

Doctorate¹⁰

Other

I prefer not to answer

What is the year you received your highest degree?*

(drop down menu)

Career Classification Sector* (choose one):

Academia

Government

For-profit

Nonprofit

Other

I prefer not to answer

Career Type* (choose one)

Primarily Research¹¹

Primarily Teaching¹²

Science-related¹³

Engineering/Technology-related¹⁴

Further Training or Education¹⁵

Other¹⁶

I prefer not to answer

*Indicates required field.

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1	NASA continually monitors the operation of its review and award processes to identify any inequities based on gender, ethnicity, race, or disability. Therefore, we are requesting additional demographic data to ensure compliance with Title VI of the Civil Rights Act of 1964, 42 U.S.C. § 2000d et seq., Title IX of the Education Amendments of 1972, 20 U.S.C. § 1681 et seq., Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. § 701 et seq. and NASA’s implementing regulations at 14 CFR. §§1250, 1251, and 1253. Submission of the requested information is voluntary and will not affect the organization's eligibility for an award. However, information not submitted will seriously undermine the usefulness, of information received from others. Any individual not wishing to submit some or all the information should check the box provided for this purpose. Paperwork Reduction Act Statement This information collection meets the requirements of 44 U.S.C. § 3507 as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 2700-0161 and this information collection expires on 08/31/2022. We estimate that it will take 5 minutes to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate to: [email protected] All information collected is based on: NASA Form 1839 08/19 (1.1) NRRS 8/101 Approved O.M.B. No. 2700-0161 Expires: 08/31/2022
2	a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
3	a person having origins in any of the original peoples of North or South America (including Central America), and who maintains tribal affiliation or community attachment.
4	a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, or Vietnam.
5	a person having origins in any of the black racial groups of Africa.
6	a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific islands.
7	a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
8	B.A., B.S., etc.
9	M.A., M.S., MBA, etc.
10	Ph.D, Ed.D, etc.
11	The primary, although not necessarily the only, focus is the conduct or oversight of scientific or technological research.
12	The primary, although not necessarily the only, focus is education and teaching.
13	Career that is relevant to the conduct of scientific research, but does not directly conduct or oversee research activities
14	Career that is relevant to the conduct of engineering or technology.
15	Postdoctoral research, completing medical residency, or pursuing an additional degree.
16	Select this if none of the other Career Types matches your career.