Evaluation of the Enhancing Diversity of the NIH-funded Workforce Program (NIGMS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 8 NRMN Annual Followup Survey	Form and Instruction	New	Available
Form 8 NRMN Annual Followup survey	Form and Instruction	New	Available
Form 8 NRMN Annual Followup Survey	Form and Instruction	New	Available
Form 8 NRMN Annual Followup survey	Form and Instruction	New	Available
Form 8 NRMN Annual Followup Survey	Form and Instruction	New	Available
Form 8 NRMN Annual Follow-up Survey	Form and Instruction	New	Available
Form 7 BUILD Site Visit & Case Studies Protocol	Form and Instruction	New	Available
Form 7 BUILD Site Visit & Case Studies Protocol	Form and Instruction	New	Available
Form 7 BUILD Site Visit & Case Studies Protocol	Form and Instruction	New	Available
Form 7 BUILD Site Visit & Case Studies Protocol	Form and Instruction	New	Available
Form 7 BUILD Site Visit & Case Studies Protocol	Form and Instruction	New	Available
Form 6 BUILD Institutional Records and Program Data Requests	Form and Instruction	New	Available
Form 5 Faculty Annual Followup Survey	Form and Instruction	New	Available
Form 4 HERI Faculty Survey	Form and Instruction	New	Available
Form 2 Student Annual Followup Survey	Form and Instruction	New	Available
Form 2 Student Annual Followup Survey	Form and Instruction	New	Available
Form 2 Student Annual Followup Survey	Form and Instruction	New	Available
Form 3 College Senior Survey	Form and Instruction	New	Available
Form 2 Student Annual Followup Survey	Form and Instruction	New	Available
Form 1 CIRP HERI Freshman Survey	Form and Instruction	New	Available
Form 19 NRMN Site visit and Case Studies Protocol	Form and Instruction	Removed	Available
Form 19 NRMN Site visit and Case Studies Protocol	Form and Instruction	Removed	Available
Form 19 NRMN Site visit and Case Studies Protocol	Form and Instruction	Removed	Available
Form 19 NRMN Site visit and Case Studies Protocol	Form and Instruction	Removed	Available
Form 19 NRMN Site visit and Case Studies Protocol	Form and Instruction	Removed	Available
Form 16 NRMN Institutional context Module	Form and Instruction	Removed	Available
Form 18 NRMN Coaching Training Module	Form and Instruction	Removed	Available
Form 17 NRMN Mentor Skills	Form and Instruction	Removed	Available
Form 16 NRMN Institutional context Module	Form and Instruction	Removed	Available
Form 18 NRMN Coaching Training Module	Form and Instruction	Removed	Available
Form 17 NRMN Mentor Skills	Form and Instruction	Removed	Available
Form 16 NRMN Institutional context Module	Form and Instruction	Removed	Available
Form 18 NRMN Coaching Training Module	Form and Instruction	Removed	Available
Form 17 NRMN Mentor Skills	Form and Instruction	Removed	Available
Form 16 NRMN Institutional context Module	Form and Instruction	Removed	Available
Form 15 NRMN Research and Grant Writing	Form and Instruction	Removed	Available
Form 14 Mentee Mentor Assessment	Form and Instruction	Removed	Available
Form 16 NRMN Institutional context Module	Form and Instruction	Removed	Available
Form 15 NRMN Research and Grant Writing	Form and Instruction	Removed	Available
Form 14 Mentee Mentor Assessment	Form and Instruction	Removed	Available
Form 16 NRMN Institutional context Module	Form and Instruction	Removed	Available
Form 15 NRMN Research and Grant Writing	Form and Instruction	Removed	Available
Form 14 Mentee Mentor Assessment	Form and Instruction	Removed	Available
Form 16 NRMN Institutional context Module	Form and Instruction	Removed	Available
Form 15 NRMN Research and Grant Writing	Form and Instruction	Removed	Available
Form 14 Mentee Mentor Assessment	Form and Instruction	Removed	Available
Form 16 NRMN Institutional context Module	Form and Instruction	Removed	Available
Form 15 NRMN Research and Grant Writing	Form and Instruction	Removed	Available
Form 14 Mentee Mentor Assessment	Form and Instruction	Removed	Available
Form 16 NRMN Institutional context Module	Form and Instruction	Removed	Available
Form 15 NRMN Research and Grant Writing	Form and Instruction	Removed	Available
Form 14 Mentee Mentor Assessment	Form and Instruction	Removed	Available
Form 13 NRMN Faculty Mentor Core Followup Survey	Form and Instruction	Removed	Available
Form 13 NRMN Faculty Mentor Core Followup Survey	Form and Instruction	Removed	Available
Form 13 NRMN Faculty Mentor Core Followup Survey	Form and Instruction	Removed	Available
Form 12 NRMN Student Mentee Core Followup Survey	Form and Instruction	Removed	Available
Form 12 NRMN Student Mentee Core Followup Survey	Form and Instruction	Removed	Available
Form 12 NRMN Student Mentee Core Followup Survey	Form and Instruction	Removed	Available
Form 12 NRMN Student Mentee Core Followup Survey	Form and Instruction	Removed	Available
Form 12 NRMN Student Mentee Core Followup Survey	Form and Instruction	Removed	Available
Form 12 NRMN Student Mentee Core Followup Survey	Form and Instruction	Removed	Available
Form 11 BUILD Site Visit and Case Studies protocol	Form and Instruction	Removed	Available
Form 11 BUILD Site Visit and Case Studies protocol	Form and Instruction	Removed	Available
Form 11 BUILD Site Visit and Case Studies protocol	Form and Instruction	Removed	Available
Form 11 BUILD Site Visit and Case Studies protocol	Form and Instruction	Removed	Available
Form 11 BUILD Site Visit and Case Studies protocol	Form and Instruction	Removed	Available
Form 10 BUILD Implementation Reports	Form and Instruction	Removed	Available
Form 9 BUILD Institutional Records and Program Data Requests	Form and Instruction	Removed	Available
Form 8 Mentee Mentor Assessment	Form and Instruction	Removed	Available
Form 7 BUILD Student Annual Followup Survey	Form and Instruction	Removed	Available
Form 6 HERI Faculty Survey	Form and Instruction	Removed	Available
Form 5 BUILD Student Annual Followup Survey	Form and Instruction	Removed	Available
Form 5 BUILD Student Annual Followup Survey	Form and Instruction	Removed	Available
Form 5 BUILD Student Annual Followup Survey	Form and Instruction	Removed	Available
Form 4 HERI College Senior Survey	Form and Instruction	Removed	Available
Form 3 HERI Your First College Year	Form and Instruction	Removed	Available
Form 2 HERI Freshman Survey (Paper Version)	Form and Instruction	Removed	Available
Form 1 HERI Freshman Survey (On-line Version)	Form and Instruction	Removed	Available
pub 30day FRN2020-02457.pdf	Supplementary Document	Uploaded 2020-02-10	Available
FINAL_DPC_Support_StatementB_Reinstate_with_changes.docx	Supporting Statement B	Uploaded 2020-02-06	Available
FINAL DPC_Support_StatementA_Reinstate_with_changes.docx	Supporting Statement A	Uploaded 2020-02-06	Available
Attachment 26_Data Methods Guide.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 25_Data Sharing Agreement Phase II.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 24_NIH Privacy Act Officer Correspondence 2020.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 23_ACD_WG_Diversity_Subcommittee.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 22_ACD_WG_Diversity_current.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 21_Original Advisory Committe to the Director (ACD) Working Group (WG) on Diversity.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 20_Coordination_Evaluation_Center_Tracker_Security_Overview.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 11_NRMN Logic Model Phase I.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 10_BUILD Logic Models.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 9_BUILD_Interventions_Summary_Table.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 8_Priority_Consortium_Evaluation_Products.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 7_ Mapping_Halllmarks_to_Data_Sources.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 6_DPC_Hallmarks_of_Success.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 5_RFA-RM-18-005_Coordination and Evaluation Center Phase II.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 4_RFA-RM-13-015 (Coordination Evaluation Center).pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 3_RFA-RM-13-017 (Nationational Research Mentoring Network (NRMN)).pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 2_RFA-RM-18-006 Building Infrastructure Leading to Diversity (BUILD) Initiative Phase II.pdf	Supplementary Document	Uploaded 2020-02-06	Available
Attachment 1_RFA-RM-13-016 (Building Infrastructure Leading to Diversity (BUILD)).pdf	Supplementary Document	Uploaded 2020-02-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
239846	NRMN Annual Followup Survey NRMN 2022 mentor cohort	Form and Instruction	New	NRMN Annual Followup Survey
239845	NRMN Annual Followup Survey NRMN 2021 mentor cohort	Form and Instruction	New	NRMN Annual Followup survey
239844	NRMN Annual Followup Survey NRMN 2020 mentor cohort	Form and Instruction	New	NRMN Annual Followup Survey
239843	NRMN Annual Fllowup Surveys NRM 2022 mentee cohort	Form and Instruction	New	NRMN Annual Followup survey
239842	NRMN Annual Followup Survey NRMN 2021 mentee cohort	Form and Instruction	New	NRMN Annual Followup Survey
239841	NRMN Annual follow-up Surveys NRMN 2020 mentee Cohort	Form and Instruction	New	NRMN Annual Follow-up Survey
239838	BUILD Case Study Interviews BUILD PI's Program Managers/Directors, & Faculty	Form and Instruction	New	BUILD Site Visit & Case Studies Protocol
239836	BUILD Case Study Interviews Graduate/post doctoral BUILD students	Form and Instruction	New	BUILD Site Visit & Case Studies Protocol
239833	BUILD Case Study Interviews Undergraduate BUILD Students	Form and Instruction	New	BUILD Site Visit & Case Studies Protocol
239832	BUILD Case Studies Preparation	Form and Instruction	New	BUILD Site Visit & Case Studies Protocol
239831	BUILD Site Visits	Form and Instruction	New	BUILD Site Visit & Case Studies Protocol
239826	BUILD Institutional Record & Program Data Requests	Form and Instruction	New	BUILD Institutional Records and Program Data Requests
239825	Faculty Annual Follow-up survey BUILD Faculty Annual Follow-up survey	Form and Instruction	New	Faculty Annual Followup Survey
239824	2019-20 HERI Faculty Survey Core National Instrument BUILD and Non-BUILD Faculty Survey	Form and Instruction	New	HERI Faculty Survey
239823	Student Annual Follow-up Survey 2022 Student Cohort	Form and Instruction	New	Student Annual Followup Survey
239822	Student Annual Follow-up Survey 2021 Student Cohort	Form and Instruction	New	Student Annual Followup Survey
239809	Student Annual follow-up Survey 2020 Student Cohort	Form and Instruction	New	Student Annual Followup Survey
239808	2019 College Senior Survey	Form and Instruction	New	College Senior Survey
239807	Student Annual Follow-up Survey	Form and Instruction	New	Student Annual Followup Survey
239806	2019 CIRP HERI Freshman Survey	Form and Instruction	New	CIRP HERI Freshman Survey
222057	NRMN Case Study Interviews Faculty mentees	Form and Instruction	Removed	NRMN Site visit and Case Studies Protocol
222056	NRMN Case Study Interviews Student mentees	Form and Instruction	Removed	NRMN Site visit and Case Studies Protocol
222055	NRMN Case Study Interviews Mentors	Form and Instruction	Removed	NRMN Site visit and Case Studies Protocol
222053	NRMN Case Study Interviews Investigators	Form and Instruction	Removed	NRMN Site visit and Case Studies Protocol
222010	NRMN Site Visit	Form and Instruction	Removed	NRMN Site visit and Case Studies Protocol
222003	NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2018 Cohort	Form and Instruction	Removed	NRMN Institutional context Module
222003	NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2018 Cohort	Form and Instruction	Removed	NRMN Coaching Training Module
222003	NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2018 Cohort	Form and Instruction	Removed	NRMN Mentor Skills
222000	NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2017 Cohort	Form and Instruction	Removed	NRMN Institutional context Module
222000	NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2017 Cohort	Form and Instruction	Removed	NRMN Coaching Training Module
222000	NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2017 Cohort	Form and Instruction	Removed	NRMN Mentor Skills
221996	NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2016 Cohort	Form and Instruction	Removed	NRMN Institutional context Module
221996	NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2016 Cohort	Form and Instruction	Removed	NRMN Coaching Training Module
221996	NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2016 Cohort	Form and Instruction	Removed	NRMN Mentor Skills
221993	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 faculty cohort	Form and Instruction	Removed	NRMN Institutional context Module
221993	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 faculty cohort	Form and Instruction	Removed	NRMN Research and Grant Writing
221993	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 faculty cohort	Form and Instruction	Removed	Mentee Mentor Assessment
221991	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 student cohort	Form and Instruction	Removed	NRMN Institutional context Module
221991	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 student cohort	Form and Instruction	Removed	NRMN Research and Grant Writing
221991	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 student cohort	Form and Instruction	Removed	Mentee Mentor Assessment
221990	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 faculty cohort	Form and Instruction	Removed	NRMN Institutional context Module
221990	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 faculty cohort	Form and Instruction	Removed	NRMN Research and Grant Writing
221990	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 faculty cohort	Form and Instruction	Removed	Mentee Mentor Assessment
221989	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 student cohort	Form and Instruction	Removed	NRMN Institutional context Module
221989	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 student cohort	Form and Instruction	Removed	NRMN Research and Grant Writing
221989	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 student cohort	Form and Instruction	Removed	Mentee Mentor Assessment
221988	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 faculty cohort	Form and Instruction	Removed	NRMN Institutional context Module
221988	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 faculty cohort	Form and Instruction	Removed	NRMN Research and Grant Writing
221988	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 faculty cohort	Form and Instruction	Removed	Mentee Mentor Assessment
221986	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 student cohort	Form and Instruction	Removed	NRMN Institutional context Module
221986	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 student cohort	Form and Instruction	Removed	NRMN Research and Grant Writing
221986	NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 student cohort	Form and Instruction	Removed	Mentee Mentor Assessment
221981	NRMN Mentor Annual Follou-up Surveys 2018 Cohort	Form and Instruction	Removed	NRMN Faculty Mentor Core Followup Survey
221980	NRMN Mentor Annual Follou-up Surveys 2017 Cohort	Form and Instruction	Removed	NRMN Faculty Mentor Core Followup Survey
221979	NRMN Mentor Annual Follou-up Surveys 2016 Cohort	Form and Instruction	Removed	NRMN Faculty Mentor Core Followup Survey
221973	NRMN Mentee Annual Follow-up Surverys 2018 Faculty Cohorts	Form and Instruction	Removed	NRMN Student Mentee Core Followup Survey
221972	NRMN Mentee Annual Follow-up Surverys 2018 student Cohorts	Form and Instruction	Removed	NRMN Student Mentee Core Followup Survey
221971	NRMN Mentee Annual Follow-up Surverys 2017 Faculty Cohorts	Form and Instruction	Removed	NRMN Student Mentee Core Followup Survey
221970	NRMN Mentee Annual Follow-up Surverys 2017 student Cohorts	Form and Instruction	Removed	NRMN Student Mentee Core Followup Survey
221969	NRMN Mentee Annual Follow-up Surverys 2016 Faculty Cohorts	Form and Instruction	Removed	NRMN Student Mentee Core Followup Survey
221968	NRMN Mentee Annual Follow-up Surverys 2016 student Cohorts	Form and Instruction	Removed	NRMN Student Mentee Core Followup Survey
221967	BUILD Case Study Interviews PI's, Program Managers/Directors, & Faculty	Form and Instruction	Removed	BUILD Site Visit and Case Studies protocol
221966	BUILD Case Study Interviews Graduate/post-doctoral Students	Form and Instruction	Removed	BUILD Site Visit and Case Studies protocol
221965	BUILD Case Study Interviews Undergraduate Students	Form and Instruction	Removed	BUILD Site Visit and Case Studies protocol
221964	BUILD Case Studies Preparation	Form and Instruction	Removed	BUILD Site Visit and Case Studies protocol
221963	BUILD Site Visits	Form and Instruction	Removed	BUILD Site Visit and Case Studies protocol
221962	BUILD Implementation Reports	Form and Instruction	Removed	BUILD Implementation Reports
221961	BUILD Institutional Research & Program Data Requests	Form and Instruction	Removed	BUILD Institutional Records and Program Data Requests
221960	BUILD Mentee Mentor Assessment	Form and Instruction	Removed	Mentee Mentor Assessment
221959	BUILD Faculty Annual Follow-up survey	Form and Instruction	Removed	BUILD Student Annual Followup Survey
221958	BUILD Faculty Survey (HERI Faculty Survey)	Form and Instruction	Removed	HERI Faculty Survey
221957	BUILD Student Annual Follow-up Survey 2017 Cohort	Form and Instruction	Removed	BUILD Student Annual Followup Survey
221956	BUILD Student Annual Follow-up Survey 2016 Cohort	Form and Instruction	Removed	BUILD Student Annual Followup Survey
221955	BUILD Student Annual Follow-up Survey 2015 Cohort	Form and Instruction	Removed	BUILD Student Annual Followup Survey
221954	BUILD Student - Follow-up survey at graduation (HERI College Senior Survey)	Form and Instruction	Removed	HERI College Senior Survey
221953	BUILD Student - Follow up survey at the end of the first attendance year (HERI Your First College Year)	Form and Instruction	Removed	HERI Your First College Year
221951	BUILD Student -Entrance Survey (Version A: HERI Freshman Survey Version B: HERI Freshman Survey for Non-Freshman Transfers	Form and Instruction	Removed	HERI Freshman Survey (Paper Version)
221951	BUILD Student -Entrance Survey (Version A: HERI Freshman Survey Version B: HERI Freshman Survey for Non-Freshman Transfers	Form and Instruction	Removed	HERI Freshman Survey (On-line Version)

ICR Details

OMB Control No: 0925-0747	ICR Reference No: 202002-0925-001
Status: Historical Active	Previous ICR Reference No: 201709-0925-003
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Evaluation of the Enhancing Diversity of the NIH-funded Workforce Program (NIGMS)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/08/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/11/2020
Terms of Clearance: Approved consistent with the understanding that NIH will display the OMB Control Number and expiration date on all instruments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2023	36 Months From Approved
Responses	85,076	0	0
Time Burden (Hours)	55,132	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This application request is to continue an evaluation of the NIH Common Fund’s “Enhancing the Diversity of the NIH-funded Workforce Program” in response to feedback from the OMB that this initiative is not exempt from the Paper Work Reduction act and should go through the Reinstatement with Change process. The initiative described in this application has two five-year funding periods. The initiative has completed Phase I and is currently in the final phase and is a national consortium, comprised of three integrated initiatives: the (1) Building Infrastructure Leading to Diversity (BUILD) Initiative, (2) National Research Mentoring Network (NRMN), and (3) Coordination and Evaluation Center (CEC).

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Authorizing Statute(s): US Code: 42 USC sect. 284n Name of Law: National Institutes of Health Reform Act of 2006
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
   EO: EO 13450 Name/Subject of EO: Improving Government Program Performance
  

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:
	84 FR 66207	12/03/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 7318	02/07/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 20

table that charts list of burden

IC Title	Form No.	Form Name
2019 CIRP HERI Freshman Survey	1	CIRP HERI Freshman Survey
2019 College Senior Survey	3	College Senior Survey
2019-20 HERI Faculty Survey Core National Instrument BUILD and Non-BUILD Faculty Survey	4	HERI Faculty Survey
BUILD Case Studies Preparation	7	BUILD Site Visit & Case Studies Protocol
BUILD Case Studies Preparation	11	BUILD Site Visit and Case Studies protocol
BUILD Case Study Interviews BUILD PI's Program Managers/Directors, & Faculty	7	BUILD Site Visit & Case Studies Protocol
BUILD Case Study Interviews Graduate/post doctoral BUILD students	7	BUILD Site Visit & Case Studies Protocol
BUILD Case Study Interviews Graduate/post-doctoral Students	11	BUILD Site Visit and Case Studies protocol
BUILD Case Study Interviews PI's, Program Managers/Directors, & Faculty	11	BUILD Site Visit and Case Studies protocol
BUILD Case Study Interviews Undergraduate BUILD Students	7	BUILD Site Visit & Case Studies Protocol
BUILD Case Study Interviews Undergraduate Students	11	BUILD Site Visit and Case Studies protocol
BUILD Faculty Annual Follow-up survey	7	BUILD Student Annual Followup Survey
BUILD Faculty Survey (HERI Faculty Survey)	6	HERI Faculty Survey
BUILD Implementation Reports	10	BUILD Implementation Reports
BUILD Institutional Record & Program Data Requests	6	BUILD Institutional Records and Program Data Requests
BUILD Institutional Research & Program Data Requests	9	BUILD Institutional Records and Program Data Requests
BUILD Mentee Mentor Assessment	8	Mentee Mentor Assessment
BUILD Site Visits	11	BUILD Site Visit and Case Studies protocol
BUILD Site Visits	7	BUILD Site Visit & Case Studies Protocol
BUILD Student - Follow up survey at the end of the first attendance year (HERI Your First College Year)	3	HERI Your First College Year
BUILD Student - Follow-up survey at graduation (HERI College Senior Survey)	4	HERI College Senior Survey
BUILD Student -Entrance Survey (Version A: HERI Freshman Survey Version B: HERI Freshman Survey for Non-Freshman Transfers	2, 1	HERI Freshman Survey (On-line Version) ,   HERI Freshman Survey (Paper Version)
BUILD Student Annual Follow-up Survey 2015 Cohort	5	BUILD Student Annual Followup Survey
BUILD Student Annual Follow-up Survey 2016 Cohort	5	BUILD Student Annual Followup Survey
BUILD Student Annual Follow-up Survey 2017 Cohort	5	BUILD Student Annual Followup Survey
Faculty Annual Follow-up survey BUILD Faculty Annual Follow-up survey	5	Faculty Annual Followup Survey
NRMN Annual Fllowup Surveys NRM 2022 mentee cohort	8	NRMN Annual Followup survey
NRMN Annual Followup Survey NRMN 2020 mentor cohort	8	NRMN Annual Followup Survey
NRMN Annual Followup Survey NRMN 2021 mentee cohort	8	NRMN Annual Followup Survey
NRMN Annual Followup Survey NRMN 2021 mentor cohort	8	NRMN Annual Followup survey
NRMN Annual Followup Survey NRMN 2022 mentor cohort	8	NRMN Annual Followup Survey
NRMN Annual follow-up Surveys NRMN 2020 mentee Cohort	8	NRMN Annual Follow-up Survey
NRMN Case Study Interviews Faculty mentees	19	NRMN Site visit and Case Studies Protocol
NRMN Case Study Interviews Investigators	19	NRMN Site visit and Case Studies Protocol
NRMN Case Study Interviews Mentors	19	NRMN Site visit and Case Studies Protocol
NRMN Case Study Interviews Student mentees	19	NRMN Site visit and Case Studies Protocol
NRMN Mentee Annual Follow-up Surverys 2016 Faculty Cohorts	12	NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2016 student Cohorts	12	NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2017 Faculty Cohorts	12	NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2017 student Cohorts	12	NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2018 Faculty Cohorts	12	NRMN Student Mentee Core Followup Survey
NRMN Mentee Annual Follow-up Surverys 2018 student Cohorts	12	NRMN Student Mentee Core Followup Survey
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 faculty cohort	14, 15, 16	Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2016 student cohort	15, 16, 14	Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 faculty cohort	14, 15, 16	Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2017 student cohort	15, 16, 14	Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 faculty cohort	14, 15, 16	Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentees - Program Specific modules for tracking survey: Mentee Assessment of Mentor, Research & Grant Wring, Institutional Context 2018 student cohort	14, 15, 16	Mentee Mentor Assessment ,   NRMN Research and Grant Writing ,   NRMN Institutional context Module
NRMN Mentor Annual Follou-up Surveys 2016 Cohort	13	NRMN Faculty Mentor Core Followup Survey
NRMN Mentor Annual Follou-up Surveys 2017 Cohort	13	NRMN Faculty Mentor Core Followup Survey
NRMN Mentor Annual Follou-up Surveys 2018 Cohort	13	NRMN Faculty Mentor Core Followup Survey
NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2016 Cohort	18, 17, 16	NRMN Mentor Skills ,   NRMN Coaching Training Module ,   NRMN Institutional context Module
NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2017 Cohort	17, 18, 16	NRMN Mentor Skills ,   NRMN Coaching Training Module ,   NRMN Institutional context Module
NRMN Mentors - Program Specific modules for tracking survey: Mentor Skills, Coaching Training, Institutional Context 2018 Cohort	18, 16, 17	NRMN Mentor Skills ,   NRMN Coaching Training Module ,   NRMN Institutional context Module
NRMN Site Visit	19	NRMN Site visit and Case Studies Protocol
Student Annual Follow-up Survey	2	Student Annual Followup Survey
Student Annual Follow-up Survey 2021 Student Cohort	2	Student Annual Followup Survey
Student Annual Follow-up Survey 2022 Student Cohort	2	Student Annual Followup Survey
Student Annual follow-up Survey 2020 Student Cohort	2	Student Annual Followup Survey

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ICR Summary of Burden

table that charts list 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	85,076	0	0	-5,647	0	90,723
Annual Time Burden (Hours)	55,132	0	0	-6,818	0	61,950
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Inclusion of the latest funding announcements: New funding announcements (RFAs) were issued to solicit applications for the program’s second 5-year phase (see Attachments 2 and 5). The funding announcements from the program’s first 5-year phase that were part of the original submission are also included (see Attachments 1, 3, and 4). Eliminating or consolidating certain surveys: Four surveys are being eliminated or consolidated from the program Improving the documentation of the evaluation components: Steps were taken to improve the documentation of the evaluation components. The Hallmarks of Success (outcomes referenced in Section A.1) represent key factors at each stage of a biomedical research career that contribute to development of a successful career in the biomedical research workforce. Discontinuing new participants for NRMN (eliminating the baseline surveys): Based on the program’s second phase restructuring of the NRMN initiative, participants will no longer be asked to complete surveys that were required during the first phase. Discontinuing NRMN Site Visits and Case Studies: Based on the program’s second phase restructuring of the NRMN initiative, NRMN site visits and case studies will no longer be included in the evaluation components.

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Annual Cost to Federal Government: $867,966

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 02/11/2020

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