Women's History Month Quiz – Women in Science

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0215 can be found here:

Documents and Forms

Document Name Document Type
Questions for Women History Month quiz.docx Other-Educational quiz
Clearance Submission_WomenHistoryMonth.docx Supporting Statement for Women’s History Month Quiz – Women in Science IC Document

Information Collection (IC) Details

IC Title:	Women's History Month Quiz – Women in Science	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Educational quiz			Questions for Women History Month quiz.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement for Women’s History Month Quiz – Women in Science	Clearance Submission_WomenHistoryMonth.docx	02/29/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.