Information Collection

NASA Education Customer Survey

IC 184455 under ICR 200804-2700-004 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NASA Education Customer Survey	Form and Instruction
NASA Education Customer Survey 2700-XXXX Edu Customer Survey Question Bank.doc	Form and Instruction
2700-XXXX Edu Customer Survey Question Bank.doc NASA Education Customer Survey	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 Education Customer Survey	2700-XXXX Edu Customer Survey Question Bank.doc		Yes	Yes	Fillable Printable

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	1,250	1,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NASA Education Customer Survey	2700-XXXX Edu Customer Survey Question Bank.doc	04/15/2008

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