GPS-STEM Teacher Survey
OMB Control No. 0648-0342
Expiration Date: 6/30/2021
Public reporting burden for this collection of information is estimated to average two (2) minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other suggestions for reducing this burden to Jason Kim, Office of Space Commerce, NOAA Satellite & Information Service, U.S. Department of Commerce, Herbert C. Hoover Building, Room 2518, 1401 Constitution Ave., NW, Washington, D.C. 20230.
Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number.
Privacy Act Statement
Authority: The collection of this information is authorized under 5 U.S.C. § 301, Departmental regulations.
Purpose:
This survey will be conducted by contractors acting on behalf of the
NOAA Office of Space Commerce and the National Coordination Office
for Space-Based Positioning, Navigation, and Timing. These program
offices have developed a new Science, Technology, Engineering, and
Mathematics (STEM) curriculum for middle school students and made it
available to teachers at www.gps.gov/students/curriculum.
The survey will help the government evaluate adoption rates and
marketing channels for the new curriculum. The customers are Middle
School teachers, who are able to download the lesson plans from the
website at no charge.
Routine
Uses:
The Department will use this information to document use of the
GPS-STEM curriculum and to provide user certificates for
participating schools. Disclosure of this information is permitted
under the Privacy Act of 1974 (5 U.S.C. Section 552a)
to be shared among Department staff for work-related purposes.
Disclosure of this information is also subject to all of the
published routine uses as identified in the Privacy Act System of
Records Notice COMMERCE/NOAA-11,
Contact Information for Members of the Public Requesting or Providing
Information Related to NOAA’s Mission.
Disclosure:
Furnishing this information is voluntary; however, failure to
provide accurate information may prevent accurate certificates from
being issued and will affect curriculum recordkeeping.
GPS-STEM Teacher Survey & Certificate Form
Please provide your full name as you'd like it to appear on your certificate
Please provide your school name as you'd like it to appear on your certificate
Please use a professional email if you have one. We will not send announcements or any information once you've filled out this form. If you'd like announcements, please provide your email on our homepage where you can subscribe for updates to the curriculum.
Please let us know so we can understand the impact these lessons are having on our schools nationally
Please provide your school’s ZIP code. We will only use this information for high-level impact studies, unless you elect for your school to be featured on our website.
Can we announce your School in this lesson/module/curriculum on our website? *
Yes
No
Please select one. We appreciate your support and would be happy to give your school credit for being STEM learning leaders!
File Type | application/msword |
File Title | Supplemental Questions for DOC/NOAA Customer Survey Clearance (OMB Control Number 0648-0342) |
Author | Robin Birn |
Last Modified By | SYSTEM |
File Modified | 2018-10-15 |
File Created | 2018-10-15 |