EDA Meeting and Speaking Request Intake Forms

Status: Original and derived artifacts are available for this document.

Download: docx | pdf | html

Edits to EDA forms for meeting and speaking requests – 2/23/2026
Speaking Request
    1. Requested Principal: Text
    2. Organization: Text
    3. Event Point of Contact (Name/Email/Phone): Text
    4. Event Title: Text
    5. Description of Event and Objective for Principals’ Participation: Text
    6. Date of Event: Calendar
    7. Specific timeframe requested for principal: Text
    8. Event location: Text
    9. Acceptance deadline: Calendar 
    10. Virtual: Y/N - Dropdown
    11. Principal’s role: (Keynote, Fireside Chat, Panelist, etc.) - Dropdown

12 through 18 depend on which option selected in 11

If Keynote or Fireside chat or Other (write in) selected: 
    12. Surrogate Requested: Y/N - Dropdown
    13. Expected Audience size: Options (Less than 50, 51 – 100, or over 100)
    14. Expected Number of Government Employees: Text
    15. Description of non-govt. attendees: (academia, private sector, non-profit, etc.) – Boxes to Check
    16. Q & A: Y/N 
    17. Will Member of the Press be Present: Y/N
    18. Bio/Photo needed: Y/N 
    19. Any additional information: Text

If Panelist selected: 
    12. If Panelist, others confirmed: Text
    13. Surrogate Requested: Y/N - Dropdown
    14. Expected Audience size: Options (Less than 50, 51 – 100, or over 100)
    15. Expected Number of Government Employees: Text
    16. Description of non-govt. attendees: (academia, private sector, non-profit, etc.) – Boxes to Check
    17. Q & A: Y/N 
    18. Will Member of the Press be Present: Y/N
    19. Bio/Photo needed: Y/N -
    20. Any additional information: Text

Meeting Request
    1. Organization: Text
    2. Point of Contact (Name/Email/Phone): Text
    3. Requested Principal: Text
    4. Topic: Text
    5. Purpose: Text
    6. Date(s)/Timeframe(s): Text
    7. Date(s)/Timeframe(s):Firm/Flexible
    8. Virtual: Y/N 
    9. Agenda: Text
    10. Participant(s); (Name/Title): Text
    11. Foreign Nationals in attendance: Y/N 
    12. Surrogate Requested: Y/N 


Public Burden Statement 
 
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0690-0038. Without this approval, we could not conduct this survey. Public reporting for this information collection is estimated to be approximately 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection are voluntary. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the Brian Lombard, Public Affairs Specialist, [email protected].