Information Collection

NEI Diversity, Equity, Inclusion and Accessibility (DEIA) Strategic Plan

IC 256188 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NEI Diversity, Equity, Inclusion and Accessibility (DEIA) Strategic Plan	Form
Form 1 NEI Diversity, Equity, Inclusion and Accessibility (DEIA) Strategic Plan	Form
1 DEIA Survey NEI DEIA Strategic Preview Plan Survey (1).pdf	Form
1 DEIA Survey NEI DEIA Strategic Preview Plan Survey (1).pdf	Form
NEI Mini SSA for Citizen Science (1).docx NEI Mini SSA for DEIA Strategic Plan survey	IC Document
NEI Mini SSA for Citizen Science (1).docx NEI Mini SSA for DEIA Strategic Plan survey	IC Document
NEI DEIA Strategic Plan Preview Document Introduction Letter (3).docx NEI DEIA Intro Letter	IC Document
NEI DEIA Strategic Plan Preview Document Introduction Letter (3).docx NEI DEIA Intro Letter	IC Document
HHS Privacy Impact Assessment for Survey Monkey.pdf TPWA PIA	IC Document
HHS Privacy Impact Assessment for Survey Monkey.pdf TPWA PIA	IC Document

IC Title:

NEI Diversity, Equity, Inclusion and Accessibility (DEIA) Strategic Plan

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	DEIA Survey	NEI DEIA Strategic Preview Plan Survey (1).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 285

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	285	285
Annual IC Time Burden (Hours)	143	143
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NEI Mini SSA for DEIA Strategic Plan survey	NEI Mini SSA for Citizen Science (1).docx	09/28/2022
NEI DEIA Intro Letter	NEI DEIA Strategic Plan Preview Document Introduction Letter (3).docx	09/28/2022
TPWA PIA	HHS Privacy Impact Assessment for Survey Monkey.pdf	09/28/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.