Information Collection

Form 1206

IC 195828 under ICR 201709-2700-001 · OMB 2700-0148.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0148 can be found here:

Documents and Forms

Document Name Document Type
Form 1206 Form 1206 Form and Instruction
1206 Assurance of Civil Rights Compliance NASA Assurance of Compliance Form revised - with PRA statement.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form 1206	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1206	Assurance of Civil Rights Compliance	NASA Assurance of Compliance Form revised - with PRA statement.doc		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	1,000	1,000
Annual IC Cost Burden (Dollars)	7,500	7,500

Documents for IC

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.