Information Collection

NOAA Teacher-At-Sea Program Participant Application

IC 4196 under ICR 201607-0648-004 · OMB 0648-0283.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0283 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NOAA Teacher-At-Sea Program Participant Application	Form
NOAA'sTeacher at Sea Form A: Participant's Application NOAA_TAS_Blank_Application_2015 PRA 2016.docx	Form

IC Title:

NOAA Teacher-At-Sea Program Participant Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	NOAA'sTeacher at Sea Form A: Participant's Application	NOAA_TAS_Blank_Application_2015 PRA 2016.docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 375

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	375	250	125
Annual IC Time Burden (Hours)	469	344	125
Annual IC Cost Burden (Dollars)	754	690	64

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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