Information Collection

Survey Form for the Division of Undergraduate Education Scholarships in Science, Technology, Engineering, and Mathematics (S-STEM) Principal Investigators

IC 182942 under ICR 200712-3145-001 · OMB 3145-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0136 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
S-STEM Survey Screenshots.pdf	Other-Survey
S-STEM Crosswalk.doc S-STEM Crosswalk	IC Document
SupportingStatement.doc S-STEM Supporting Statement	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Survey Form for the Division of Undergraduate Education Scholarships in Science, Technology, Engineering, and Mathematics (S-STEM) Principal Investigators

Agency IC Tracking Number:

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
Other-Survey			S-STEM Survey Screenshots.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	400	0	0	0	0	0
Annual IC Time Burden (Hours)	2,200	0	0	0	0	0
Annual IC Cost Burden (Dollars)	12,000	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
S-STEM Crosswalk	S-STEM Crosswalk.doc	12/10/2007
S-STEM Supporting Statement	SupportingStatement.doc	12/10/2007

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