Information Collection

Parent Consent Form/Survey

IC 197060 under ICR 201103-2700-001 · OMB 2700-0150.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0150 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Parent Consent Form/Survey	Form and Instruction
Parent Consent/Survey Appendix B NASA SOI rev 5-6-11.doc	Form and Instruction
Planning Form Appendix D NASA SOI 3-24-11.doc	Form and Instruction
Focus Group Protocol Appendix F NASA SOI 3-24-11.doc	Form and Instruction

IC Title:

Parent Consent Form/Survey

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	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	n/a	Planning Form	Appendix D NASA SOI 3-24-11.doc	No	Paper Only
Form and Instruction	n/a	Focus Group Protocol	Appendix F NASA SOI 3-24-11.doc	No	Paper Only
Form and Instruction	n/a	Parent Consent/Survey	Appendix B NASA SOI rev 5-6-11.doc	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: 40,020

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40,020	40,020
Annual IC Time Burden (Hours)	3,335	3,335
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.