Information Collection

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

IC 28039 under ICR 201012-2700-001 · OMB 2700-0103.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NASA Voluntary On-Line Job Applicant Racial and Ethnic Data Collection	Form
NASA RNO Survey Instrument Final 01-31-2011.docx nasajobs.nasa.gov	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	n/a	NASA RNO Survey Instrument Final 01-31-2011.docx	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 %

table that charts list of burden
	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

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.