Information Collection

Student Post-Pilot Survey

IC 192153 under ICR 201003-2700-001 · OMB 2700-0139.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NES Pilot Student Survey_PrePilot (2).docx	Other-survey
NES Pilot Student Survey_PostPilot.doc	Other-null
NES Focus Group Protocol.doc	Other-survey
NES Teacher Survey.docx	Other-survey
NES EPD Survey doc (2).docx	Other-survey
NES Interview Protocol.docx	Other-telephone survey

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey	NES Pilot Student Survey_PrePilot (2).docx	Yes	Yes	Fillable Printable
Other-null	NES Pilot Student Survey_PostPilot.doc	Yes	Yes	Fillable Printable
Other-survey	NES Focus Group Protocol.doc	Yes	Yes	Fillable Printable
Other-survey	NES Teacher Survey.docx	Yes	Yes	Fillable Printable
Other-survey	NES EPD Survey doc (2).docx	Yes	Yes	Fillable Printable
Other-telephone survey	NES Interview Protocol.docx	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: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	15	15
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.