Survey Form for the Division of Undergraduate Education Scholarships in Science, Technology, Engineering, and Mathematics (S-STEM) Principal Investigators

EHR Generic Clearance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0136 can be found here:

Documents and Forms

Document Name Document Type
S-STEM Survey Screenshots.pdf Other-Survey
S-STEM Crosswalk.doc S-STEM Crosswalk IC Document
SupportingStatement.doc S-STEM Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Survey Form for the Division of Undergraduate Education Scholarships in Science, Technology, Engineering, and Mathematics (S-STEM) Principal Investigators	Agency IC Tracking Number:

IC Status: Unchanged

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			S-STEM Survey Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	2,200	2,200
Annual IC Cost Burden (Dollars)	12,000	12,000

Documents for IC

Title	Document	Date Uploaded
S-STEM Crosswalk	S-STEM Crosswalk.doc	12/10/2007
S-STEM Supporting Statement	SupportingStatement.doc	12/10/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.