NASA Education STEM Challenges Impact Survey.Student Follow-up Instrument

Generic Clearance for the NASA Office of Education Performance Measurement and Evaluation (Testing)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0159 can be found here:

Documents and Forms

Document Name Document Type
1-NASA Education SCIS- STUDENT FOLLOW-UP INSTRUMENT- SRC.docx Other-Instrument
2-NASA Education SCIS - STUDENT FOLLOW-UP INSTRUMENT- EDC.docx Other-Instrument
3-NASA Education SCIS - STUDENT FOLLOW-UP INSTRUMENT- SRC Student Screenshots.docx Other-Instrument ScreenShot
4-NASA Education SCIS - STUDENT FOLLOW-UP INSTRUMENT- EDC Student Screenshots.docx Other-Instrument ScreenShot
5-NASA Education SCIS- SCRIPT-SRC.docx Other-Instrument Script
6-NASA Education SCIS- SCRIPT-EDC.docx Other-Instrument Script
7-NASA Education SCIS- EDUCATOR INSTRUCTIONS-SRC.docx Instruction
8-NASA Education SCIS- EDUCATOR INSTRUCTIONS-EDC.docx Instruction
9-NASA Education SCIS- EDUCATOR INSTR SCREENSHOT-SRC.docx Instruction
10-NASA Education SCIS-EDUCATOR INSTR SCREENSHOT-EDC.docx Instruction
SORN.NASA 10EDUA.NASA Education Records.FRN 15-012.Mar.17.2015.pdf NASA Education SORN IC Document
SHORT FORM. NASA Education STEM Challenges Impact Surveys-Student Follow-Up Instruments.pdf SHORT FORM. NASA Education STEM Challenges-Follow-Up Instruments IC Document

Information Collection (IC) Details

IC Title:	NASA Education STEM Challenges Impact Survey.Student Follow-up Instrument	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Instrument	1-NASA Education SCIS- STUDENT FOLLOW-UP INSTRUMENT- SRC.docx	Yes	Yes	Fillable Fileable
Other-Instrument	2-NASA Education SCIS - STUDENT FOLLOW-UP INSTRUMENT- EDC.docx	Yes	Yes	Fillable Fileable
Other-Instrument ScreenShot	3-NASA Education SCIS - STUDENT FOLLOW-UP INSTRUMENT- SRC Student Screenshots.docx	Yes	Yes	Fillable Fileable
Other-Instrument ScreenShot	4-NASA Education SCIS - STUDENT FOLLOW-UP INSTRUMENT- EDC Student Screenshots.docx	Yes	Yes	Fillable Fileable
Other-Instrument Script	5-NASA Education SCIS- SCRIPT-SRC.docx	Yes	Yes	Printable Only
Other-Instrument Script	6-NASA Education SCIS- SCRIPT-EDC.docx	Yes	Yes	Printable Only
Instruction	7-NASA Education SCIS- EDUCATOR INSTRUCTIONS-SRC.docx	Yes	Yes	Fillable Fileable
Instruction	8-NASA Education SCIS- EDUCATOR INSTRUCTIONS-EDC.docx	Yes	Yes	Fillable Fileable
Instruction	9-NASA Education SCIS- EDUCATOR INSTR SCREENSHOT-SRC.docx	Yes	Yes	Printable Only
Instruction	10-NASA Education SCIS-EDUCATOR INSTR SCREENSHOT-EDC.docx	Yes	Yes	Printable Only

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records
Title: SORN 10EDUA	FR Citation: 15 FR 12

Number of Respondents: 865	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	865	865
Annual IC Time Burden (Hours)	187	187
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NASA Education SORN	SORN.NASA 10EDUA.NASA Education Records.FRN 15-012.Mar.17.2015.pdf	09/19/2016
SHORT FORM. NASA Education STEM Challenges-Follow-Up Instruments	SHORT FORM. NASA Education STEM Challenges Impact Surveys-Student Follow-Up Instruments.pdf	09/19/2016

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