Information Collection

NASA Office of Education Undergraduate Internship Impact Surveys - Baseline Instruments No. 1

IC 219614 under ICR 201804-2700-001 · OMB 2700-0159.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0159 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
No.1 Internship Expectations Pre-Survey.2016.SurveyScreenShots.pdf	Other-Survey Screen Shot with Instru
No.1 Internship Expectations Pre-Survey.2016.SurveyDropDownFields.pdf	Other-Detail of Survey Drop Down Fie
No.7 Research Focus Pre-Internship Survey.2016.SurveyDropDownFields.pdf	Other-Detail of Survey Drop Down Fie
No.7 Research Focus Pre-Internship Survey.2016.SurveyScreenShots.pdf	Other-Survey Screen Shot with Instru
No.5 Grit Outcome Pre-Internship Scale.2016.SurveyScreenShots.pdf	Other-Survey Screen Shot with Instru
No.5 Grit Outcome Pre-Internship Scale.2016.SurveyDropDownFields.pdf	Other-Detail of Survey Drop Down Fie
SORN.NASA 10EDUA.NASA Education Records.FRN 15-012.Mar.17.2015.pdf NASA SORN 10EDUA	IC Document
NASA Education Undergraduate Internship Impact Surveys-Baseline Instrument I.pdf Supplemental Form. NASA Education Undergraduate Internship Impact Surveys- Baseline Instruments 1	IC Document

IC Title:

NASA Office of Education Undergraduate Internship Impact Surveys - Baseline Instruments No. 1

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Screen Shot with Instructions	No.1 Internship Expectations Pre-Survey.2016.SurveyScreenShots.pdf	Yes	Yes	Fillable Fileable
Other-Detail of Survey Drop Down Fields (example only)	No.1 Internship Expectations Pre-Survey.2016.SurveyDropDownFields.pdf	No		Printable Only
Other-Detail of Survey Drop Down Fields (example only)	No.7 Research Focus Pre-Internship Survey.2016.SurveyDropDownFields.pdf	No		Printable Only
Other-Survey Screen Shot with Instructions	No.7 Research Focus Pre-Internship Survey.2016.SurveyScreenShots.pdf	Yes	Yes	Fillable Fileable
Other-Survey Screen Shot with Instructions	No.5 Grit Outcome Pre-Internship Scale.2016.SurveyScreenShots.pdf	Yes	Yes	Fillable Fileable
Other-Detail of Survey Drop Down Fields (example only)	No.5 Grit Outcome Pre-Internship Scale.2016.SurveyDropDownFields.pdf	No		Printable Only

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title: NASA 10EDUA NASA Education Program Evaluation System

FR Citation: 15 FR 12

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NASA SORN 10EDUA	SORN.NASA 10EDUA.NASA Education Records.FRN 15-012.Mar.17.2015.pdf	01/19/2016
Supplemental Form. NASA Education Undergraduate Internship Impact Surveys- Baseline Instruments 1	NASA Education Undergraduate Internship Impact Surveys-Baseline Instrument I.pdf	01/19/2016

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