Scientific Workforce Diversity Seminar Series (SWDSS) Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Scientific Workforce Diversity Seminar Series (SWDSS) Feedback Survey Form and Instruction
1 SWDSS Post Survey SWDSS_AntiRacism_STEMM_Post-EventSurvey.docx Form and Instruction
SWDSS Feedback Template_Oct 25 Event.docx Fast-track template IC Document

Information Collection (IC) Details

IC Title:	Scientific Workforce Diversity Seminar Series (SWDSS) Feedback Survey	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	SWDSS Post Survey	SWDSS_AntiRacism_STEMM_Post-EventSurvey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast-track template	SWDSS Feedback Template_Oct 25 Event.docx	10/20/2021

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