Summer of Innovation #2 (Surveys)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
School-Year Teacher Implementation Form	Form and Instruction	Unchanged	Available
Implementation Form for Professional Development Activities (Summer and School Year)	Form and Instruction	Unchanged	Available
Implementation Form for Student School-Year Activities	Form and Instruction	Unchanged	Repair queued
Implementation Form for Student Summer Activities	Form and Instruction	Unchanged	Available
Planning Form for School Year Activities	Form and Instruction	Unchanged	Available
Teacher First Follow-Up Survey	Form and Instruction	Unchanged	Repair queued
Teacher Baseline Survey	Form and Instruction	Unchanged	Available
6th-9th Grade Student Survey (Baseline & First Follow Up)	Form and Instruction	Unchanged	Repair queued
4th-5th Grade Student Survey (Baseline & First Follow Up)	Form and Instruction	Unchanged	Available
NASA SOI OMB Package _2 Part B 5-25-11.docx	Supporting Statement B	Uploaded 2011-08-29	Available
NASA SoI OMB Package _2 Part A 5-25-11.doc	Supporting Statement A	Uploaded 2011-08-29	Available
Responses to OMB Comments 5 24 11.docx	Supplementary Document	Uploaded 2011-06-08	Available
Appendix 13-Fall Focus Group Consent Script_5.26.docx	Supplementary Document	Uploaded 2011-06-08	Available
Appendix 7-Crosswalk of Teacher Survey_5.26.docx	Supplementary Document	Uploaded 2011-06-08	Available
Appendix 4-Crosswalk of Student Survey Items_6.8.docx	Supplementary Document	Uploaded 2011-06-08	Available
Appendix 1-Logic Model.doc	Supplementary Document	Uploaded 2011-05-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
197658	Fall Focus Group	Other-Verbal Interview	Unchanged
197657	School-Year Teacher Implementation Form	Form and Instruction	Unchanged
197656	Implementation Form for Professional Development Activities (Summer and School Year)	Form and Instruction	Unchanged
197655	Implementation Form for Student School-Year Activities	Form and Instruction	Unchanged
197654	Implementation Form for Student Summer Activities	Form and Instruction	Unchanged
197653	Planning Form for School Year Activities	Form and Instruction	Unchanged
197652	Teacher First Follow-Up Survey	Form and Instruction	Unchanged
197651	Teacher Baseline Survey	Form and Instruction	Unchanged
197647	6th-9th Grade Student Survey (Baseline & First Follow Up)	Form and Instruction	Unchanged
197646	4th-5th Grade Student Survey (Baseline & First Follow Up)	Form and Instruction	Unchanged

ICR Details

OMB Control No: 2700-0151	ICR Reference No: 201108-2700-005
Status: Historical Active	Previous ICR Reference No: 201108-2700-004
Agency/Subagency: NASA	Agency Tracking No:
Title: Summer of Innovation #2 (Surveys)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/29/2011
	Date Received in OIRA: 08/29/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2012	6 Months From Approved	12/31/2011
Responses	17,612	0	17,612
Time Burden (Hours)	8,971	0	8,971
Cost Burden (Dollars)	0	0	0

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Abstract: Drawing heavily upon the lessons learned identified in the evaluation of last summer's SoI pilot, NASA modified its approach to focus on expanding the capacity of community and school-based organizations to engage youth in STEM learning activities. In FY2011, NASA is implementing a three-tiered solicitation and award structure that is designed to provide selected awardees with different levels of funding and access to NASA staff, facilities, and technology to engage 4th through 9th grade students in intensive, high-quality, inquiry-based content learning experiences in STEM during the summer and the school year. As it continues to develop and refine the program's design, NASA has contracted with Abt Associates to conduct a formative evaluation. This evaluation intends to describe the different approaches taken by national awardees to meet the SoI requirements. It will also explore whether change occurs in key outcomes between baseline and follow-up surveys for participants at the national awardees and NASA Center SoI sites, where NASA is investing the majority of the SoI project funds.

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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 56	06/30/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	11 FR 56	06/30/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
Implementation Form for Student School-Year Activities	n/a	Implementation Form Student School Year
Teacher Baseline Survey	n/a	n/a
Teacher First Follow-Up Survey	n/a	n/a
6th-9th Grade Student Survey (Baseline & First Follow Up)	n/a	n/a
Planning Form for School Year Activities	n/a	n/a
Implementation Form for Student Summer Activities	n/a	Implementation Form Student Summer
School-Year Teacher Implementation Form	n/a	n/a
4th-5th Grade Student Survey (Baseline & First Follow Up)	n/a	n/a
Fall Focus Group
Implementation Form for Professional Development Activities (Summer and School Year)	n/a	n/a

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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	17,612	17,612	0	0	0	0
Annual Time Burden (Hours)	8,971	8,971	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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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: 08/29/2011

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