Information Collection

NASA Voluntary On-Line Job Applicant Racial and Ethnic Data Collection

IC 28039 under ICR 200910-2700-002 · OMB 2700-0103.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0103 can be found here:

Documents and Forms

Document Name Document Type
Applicant Background Survey.doc www.nasajobs.nasa.gov Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NASA Voluntary On-Line Job Applicant Racial and Ethnic Data Collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-Survey			Applicant Background Survey.doc	http://www.nasajobs.nasa.gov	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: 40,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	3,334	3,334
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.