Information Collection Request

NOAA Teacher-At-Sea Program

ICR 201607-0648-004 · OMB 0648-0283 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
NOAA'sTeacher at Sea Form A: Participant's Application Form Modified Available
NOAA Health Services Questionnaire Form Modified Available
Colleague's recommendation Form Modified Available
Administrator's recommendation Form Modified Available
0283 SS TAS_071816.doc Supporting Statement A Uploaded 2016-07-19 Available
0283 FR 81 12717 Notice 031016.pdf Supplementary Document Uploaded 2016-07-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
4196 NOAA Teacher-At-Sea Program Participant Application Form ModifiedNOAA'sTeacher at Sea Form A: Participant's Application
207090 Health Services Questionnaire Form ModifiedNOAA Health Services Questionnaire
180800 NOAA Teacher At Sea Follow-up Reports Modified
180797 NOAA Teacher At Sea Recommendations Form ModifiedColleague's recommendation
180797 NOAA Teacher At Sea Recommendations Form ModifiedAdministrator's recommendation

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2019 36 Months From Approved 09/30/2016
1,215 0 465
758 0 289
754 0 238





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4
table that charts list of burden
IC Title Form No. Form Name
Health Services Questionnaire NA
NOAA Teacher At Sea Follow-up Reports
NOAA Teacher At Sea Recommendations NA, NA ,  
NOAA Teacher-At-Sea Program Participant Application NA

table that charts list 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 1,215 465 0 0 750 0
Annual Time Burden (Hours) 758 289 0 0 469 0
Annual Cost Burden (Dollars) 754 238 0 0 516 0


Reginfo record details
  No