Kennedy Education Experiences Program (KEEP)

Forms and Documents

Document Name	Status
Form KSC FOrm 50-158 Kennedy Educational Experience Program (KEEP) Form and Instruction	Modified
NASA 10EDUA SORN.docx Supplementary Document	2015-12-18
SORN.NASA 10EDUA.NASA Education Records.FRN 15-012.Mar.17.2015.pdf Supplementary Document	2015-12-11
2700-0135 KEEP Supporting Statement.....1.doc Supporting Statement A	2016-01-04
30day FRN.KEEP Aug 8.2014.pdf Supplementary Document	2015-10-02
KEEP.60day FRN.April22.2014.pdf Supplementary Document	2015-10-02

IC Document Collections

IC ID	Document Title	Status
184858	Kennedy Educational Experience Program (KEEP) Form and Instruction	Modified

ICR Details

OMB Control No: 2700-0135	ICR Reference No: 201509-2700-003
Status: Historical Active	Previous ICR Reference No: 201012-2700-003
Agency/Subagency: NASA	Agency Tracking No:
Title: Kennedy Education Experiences Program (KEEP)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/05/2016
	Date Received in OIRA: 10/07/2015
Terms of Clearance: This collection is approved based on the revised materials provided by the Agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved
Responses	60	0	0
Time Burden (Hours)	10	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Kennedy Educational Experiences Program (KEEP) offers a unique job shadowing opportunity for students to observe the practical application of science, technology, engineering, and math (STEM) through career paths available at NASA's Kennedy Space Center. Participation is limited to U.S. citizens 16 years of age or older. The program offers participating students a unique opportunity to increase their awareness of the variety of STEM focused positions at Kennedy Space Flight Center. Students shadow the mentor in the actual work environment. Interested students apply by submitting an application form and 2 teacher recommendations.

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Authorizing Statute(s): PL: Pub.L. 85 - 568 72 Stat., 426 Name of Law: National Aeronautics and Space Act
  

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:
	79 FR 77	04/22/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 153	08/08/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Kennedy Educational Experience Program (KEEP)	KSC Form 50-158, KSC Form 50-158, KSC FOrm 50-158	Kennedy Educational Experience Program(KEEP) Student Application ,   Teacher Recommendation 1 ,   Teacher Recommendation 2

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ICR Summary 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	60	0	0	40	0	20
Annual Time Burden (Hours)	10	0	0	-10	0	20
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: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: Information collection instruments can be submitted electronically (scanned and emailed), reducing the burden when compared to submitting via mail. Forms were improved for clarity and comprehensibility.

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Annual Cost to Federal Government: $528

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 10/07/2015

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