Information Collection

Teacher Baseline Survey

IC 200621 under ICR 201112-2700-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Teacher Baseline Survey	Form and Instruction
Teacher Baseline Survey A6 teacher baseline paper.docx	Form and Instruction

IC Title:

Teacher Baseline 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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Teacher Baseline Survey	A6 teacher baseline paper.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	900	900
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.