Information Collection

NASA TV Viewers Survey

IC 178648 under ICR 200702-2700-001 · OMB 2700-0126.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NASA TV Viewers Survey	Form and Instruction
NASA TV Viewers Survey TV User SurveyDDR rev.doc	Form and Instruction
Feb5-NASA_TV_supporting_statement_Rev4cw.doc Supplementary Statement	IC Document
NASA TV Informed Consent Document.doc Registration	IC Document
NASA TV emergency request2.doc Emergency Justification	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	None	NASA TV Viewers Survey	TV User SurveyDDR rev.doc		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,020

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,020	1,020
Annual IC Time Burden (Hours)	170	170
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supplementary Statement	Feb5-NASA_TV_supporting_statement_Rev4cw.doc	02/07/2007
Registration	NASA TV Informed Consent Document.doc	02/06/2007
Emergency Justification	NASA TV emergency request2.doc	02/05/2007

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