Information Collection

NASA Safety Culture Survey 2018-2019

IC 231688 under ICR 201506-2700-001 · OMB 2700-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0153 can be found here:

Documents and Forms

Document Name Document Type
NASA SCS R4 Screen Shots combined.docx Other-Survey screenshot
NASA SCS Round 4 General Questions.docx Other-Survey script
Fast-track-PRA-submission-short-form Safety Culture 2018 b053118.doc Fast track short form - Safety Culture IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NASA Safety Culture Survey 2018-2019	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-Survey script			NASA SCS Round 4 General Questions.docx		Yes	Yes	Fillable Fileable
Other-Survey screenshot			NASA SCS R4 Screen Shots combined.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track short form - Safety Culture	Fast-track-PRA-submission-short-form Safety Culture 2018 b053118.doc	06/08/2018

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