NASA TV Viewers Survey

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NASA TV Viewers Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	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 %

	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

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.