NOAA Teacher-At-Sea Program

Forms and Documents

Document Name	Status
NOAA Teacher-At-Sea Program Participant Application and Health Services Questionnaire Form	Modified
NOAA Teacher At Sea Recommendations Form	Modified
0283 ss ren 060910rev.pdf Supporting Statement A	2010-06-18

IC Document Collections

IC ID	Document Title	Status
4196	NOAA Teacher-At-Sea Program Participant Application and Health Services Questionnaire Form	Modified
180800	NOAA Teacher At Sea Follow-up Reports	Modified
180797	NOAA Teacher At Sea Recommendations Form	Modified

ICR Details

OMB Control No: 0648-0283	ICR Reference No: 201006-0648-001
Status: Historical Active	Previous ICR Reference No: 200809-0648-005
Agency/Subagency: DOC/NOAA	Agency Tracking No:
Title: NOAA Teacher-At-Sea Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/22/2010
	Date Received in OIRA: 06/22/2010
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for 3 years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2013	36 Months From Approved	07/31/2010
Responses	420	0	420
Time Burden (Hours)	309	0	309
Cost Burden (Dollars)	211	0	660

---

Abstract: The Teacher-At-Sea Program provides educators with the opportunit to participate in research projects aboard NOAA vessels. The respondents are educators who provide information about them- selves and their teaching situation and who submit a follow-up report with ideas for classroom applications. Recommendations are also required. This request is to revise the medical questionnaire to decrease the personally identifiable information required as well as delete several specific medical and lifestyle questions. A short section will be added with questions on fitness for residing aboard a ship at sea.

---

Authorizing Statute(s): US Code: 16 USC 32 Name of Law: National Marine Sanctuaries Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 338	01/05/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 35440	06/22/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
NOAA Teacher At Sea Follow-up Reports
NOAA Teacher At Sea Recommendations	NA, NA	Colleague's recommendation ,   Administrator's recommendation
NOAA Teacher-At-Sea Program Participant Application and Health Services Questionnaire	NA, NA	NOAA'sTeacher at Sea Form A: Participant's Application ,   NOAA Health Services Questionnaire

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	420	420	0	0	0	0
Annual Time Burden (Hours)	309	309	0	0	0	0
Annual Cost Burden (Dollars)	211	660	0	0	-449	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $15,298

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/22/2010

---