NASA Explorer Schools

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Student Survey – Pre and post	Form and Instruction	New	Available
Teacher Surveys – (Pre and Post)	Form and Instruction	New	Available
Student Focus Group Guide	Form and Instruction	New	Available
Teacher Log	Form and Instruction	New	Available
Appendix G. IRB approved notification materials 5.24.11.pdf	Supplementary Document	Uploaded 2011-06-10	Available
1Memo-AnswerstoOMBsQs.doc	Supplementary Document	Uploaded 2011-04-06	Available
Appendix F. Map of Research Questions to Instrument Items 5.24.11.doc	Supplementary Document	Uploaded 2011-06-10	Available
Appendix D. Teacher log 5.24.11.pdf	Supplementary Document	Uploaded 2011-06-10	Available
Appendix B. Student Focus Group Guide 5.24.11.doc	Supplementary Document	Uploaded 2011-06-10	Available
Appendix A. NES Logic Model 5.24.11.doc	Supplementary Document	Uploaded 2011-06-10	Available
Supporting_Statement_NES Evaluation 5 24 10.docx	Supporting Statement B	Uploaded 2011-06-10	Available
Supporting_Statement_NES Evaluation 5 24 10.docx	Supporting Statement A	Uploaded 2011-06-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197176	Student Survey – Pre and post	Form and Instruction	New
197175	Teacher Surveys – (Pre and Post)	Form and Instruction	New
197174	Student Focus Group Guide	Form and Instruction	New
197173	Teacher Log	Form and Instruction	New

ICR Details

OMB Control No: 2700-0152	ICR Reference No: 201104-2700-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: NASA	Agency Tracking No:
Title: NASA Explorer Schools
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/10/2011
	Date Received in OIRA: 04/06/2011
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	06/30/2013	36 Months From Approved
Responses	19,360	0	0
Time Burden (Hours)	4,780	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The NES project is designed to collect information that will be used for program improvement and modifications and to begin to explore whether there is preliminary evidence that desired outcomes are being observed. The formative assessment involves two phases. Phase 1 will gather information about project implementation from participants in the first year of the project through interviews with select teachers and focus group interviews with a further subset of students. Phase 2 will gather information about project implementation from participants in year 2, through teacher surveys, logs and student surveys, and will measure implementation and baseline and post-program values on outcomes of interest.

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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:
	10 FR 123	10/14/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	10 FR 153	12/10/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Student Survey – Pre and post	n/a	Student Surveys - Pre and Post
Teacher Log	n/a	n/a
Student Focus Group Guide	n/a	Student Focus Groups
Teacher Surveys – (Pre and Post)	n/a	Teacher Surveys (Pre and Post)

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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	19,360	0	0	19,360	0	0
Annual Time Burden (Hours)	4,780	0	0	4,780	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: The evaluation components being proposed under this clearance begin with a formative evaluation of NES, which includes preliminary measures of intended project outcomes. For new programs, such as NES, process or formative evaluations are a logical first step, as a formative evaluation can determine whether or not an intervention is being implemented as intended.

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Annual Cost to Federal Government: $236,326

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: 04/06/2011

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