Information Collection

Scientific Workforce Diversity Seminar Series (SWDSS) Fostering Cohort Recruitment 6-Month Follow-Up Survey

IC 255500 under ICR 202307-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Scientific Workforce Diversity Seminar Series (SWDSS) Fostering Cohort Recruitment 6-Month Follow-Up Survey	Form and Instruction
1 FCR Six Month Follow-up Survey FCR Six Month Follow Up Survey_Final_07.26.22.docx	Form and Instruction
Fast Track - SWDSS Feedback Template__FCR Follow-Up Survey.docx Fast-track template	IC Document

IC Title:

Scientific Workforce Diversity Seminar Series (SWDSS) Fostering Cohort Recruitment 6-Month Follow-Up Survey

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 and Instruction	1	FCR Six Month Follow-up Survey	FCR Six Month Follow Up Survey_Final_07.26.22.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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
Fast-track template	Fast Track - SWDSS Feedback Template__FCR Follow-Up Survey.docx	08/24/2022

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