Information Collection

SEMAA Program Evaluation

IC 187775 under ICR 200901-2700-001 · OMB 2700-0136.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SEMAA Program Evaluation	Form and Instruction
Student Survey Attachment 2 STUDENT Survey NASA SEMAA_OMB.doc	Form and Instruction
Parent Survey Attachment 3 PARENT Survey NASA SEMAA_OMB.doc	Form and Instruction
Protocol for Telephone Interview Attachment 1 SEMAA Director Interview protocol.DOC	Form and Instruction

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Student Survey	Attachment 2 STUDENT Survey NASA SEMAA_OMB.doc	Yes	Yes	Fillable Fileable
Form and Instruction	None	Parent Survey	Attachment 3 PARENT Survey NASA SEMAA_OMB.doc	Yes	Yes	Fillable Fileable
Form and Instruction	None	Protocol for Telephone Interview	Attachment 1 SEMAA Director Interview protocol.DOC	No		Paper Only

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,030

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,030	2,030
Annual IC Time Burden (Hours)	2,030	2,030
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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