Summer of Innovation #1 (Parental Consent)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Parent Consent Form/Survey	Form and Instruction	New	Available
Appendix E NASA SOI 3-24-11.doc	Supplementary Document	Uploaded 2011-03-24	Available
Appendix C NASA SOI 3-24-11.doc	Supplementary Document	Uploaded 2011-03-24	Available
Appendix A NASA SOI 3-24-11.doc	Supplementary Document	Uploaded 2011-03-24	Available
NASA SOI OMB Package #1 Part B 4-6-11.doc	Supporting Statement B	Uploaded 2011-05-09	Available
NASA SoI OMB Package # 1 Part A 4-18-11.doc	Supporting Statement A	Uploaded 2011-05-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197060	Parent Consent Form/Survey	Form and Instruction	New

ICR Details

OMB Control No: 2700-0150	ICR Reference No: 201103-2700-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: NASA	Agency Tracking No:
Title: Summer of Innovation #1 (Parental Consent)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 04/24/2011
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/09/2011
	Date Received in OIRA: 03/24/2011
Terms of Clearance: This collection is cleared based on the revised materials provided by the Agency.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2011	6 Months From Approved
Responses	40,020	0	0
Time Burden (Hours)	3,335	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this data collection effort is to the support the national evaluation of the SoI project. The goal of the national evaluation is formative, that is, to gather data that will inform NASA's continued development of the program as well as to assess whether evidence supports the progression to a summative, impact evaluation. Accordingly, the study will focus on SoI's implementation and associated outcomes to identify promising practices. The implementation work will develop a description of the awardee models and their local objectives prior to implementation, revealing how the planned methods are linked to desired outcomes; the data will enable us to assess the fidelity of implementation and generate lessons learned to improve future activities.

Emergency Justfication: This initiative is a priority for NASA's Administration, Charlie Bolden

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	11 FR 2	01/10/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	11 FR 2	01/10/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Parent Consent Form/Survey	n/a, n/a, n/a	Planning Form ,   Focus Group Protocol ,   Parent Consent/Survey

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ICR Summary of Burden

table that charts list 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	40,020	0	0	40,020	0	0
Annual Time Burden (Hours)	3,335	0	0	3,335	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: In 2010, NASA's Office of Education launched the SoI pilot, a NASA-infused summer experience for middle school students who underperform, are underrepresented, and underserved in science, technology, engineering, and mathematics (STEM) fields. The SoI pilot utilized a multi-faceted approach to reach and engage middle school students in STEM learning with NASA content and experiences. The pilot evaluation produced valuable insight into the program and was used to redesign SoI for this year. However, it was limited in its ability to generate hypotheses about promising practices; in most cases the national evaluation was not able to field baseline surveys, necessary for assessing change in the program's outcomes of interest.

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Annual Cost to Federal Government: $40,795

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? No

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

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 03/24/2011

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