Information Collection

SEMAA Program Evaluation

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SEMAA Program Evaluation	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	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 %

	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

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.