Information Collection

Form 1206

IC 195828 under ICR 201710-2700-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	Approved	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

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.