Information Collection

NASA Office of Education STEM Challenges Impact Surveys:Educator Retorspective Instruments

IC 224069 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⚠️ Notice: This information collection may be referencing outdated material.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
1-NASA Education SCIS- EDUCATOR INSTRUMENT - SRC.pdf	Other-Instrument
2-NASA Education SCIS- EDUCATOR INSTRUMENT- EDC.pdf	Other-Instrument
3- NASA Education SCIS- EDUCATOR INSTRUMENT- SRC-Screenshots.pdf	Other-Instrument ScreenShot
4-NASA Education SCIS- EDUCATOR INSTRUMENT- EDC-Screenshots.pdf	Other-Instrument ScreenShot
5- NASA Education SCIS- EDUCATOR INSTRUMENT- Short Version- EDC- Screenshots.pdf	Other-Screenshot
5- NASA Education SCIS- EDUCATOR INSTRUMENT- Short Version- EDC.pdf	Other-Instrument
NASA Education STEM Challenges Impact Surveys-EDUCATOR INSTRUMENT SHORT FORM.pdf Short Form: NASA SCIS Educator Instruments	IC Document
SORN.NASA 10EDUA.NASA Education Records.FRN 15-012.Mar.17.2015.pdf 15-012 FRN for SORN	IC Document

IC Title:

NASA Office of Education STEM Challenges Impact Surveys:Educator Retorspective Instruments

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-Instrument	1-NASA Education SCIS- EDUCATOR INSTRUMENT - SRC.pdf	Yes	Yes	Fillable Fileable
Other-Instrument	2-NASA Education SCIS- EDUCATOR INSTRUMENT- EDC.pdf	Yes	Yes	Fillable Fileable
Other-Instrument ScreenShot	3- NASA Education SCIS- EDUCATOR INSTRUMENT- SRC-Screenshots.pdf	Yes	Yes	Fillable Fileable
Other-Instrument ScreenShot	4-NASA Education SCIS- EDUCATOR INSTRUMENT- EDC-Screenshots.pdf	Yes	Yes	Fillable Fileable
Other-Screenshot	5- NASA Education SCIS- EDUCATOR INSTRUMENT- Short Version- EDC- Screenshots.pdf	Yes	Yes	Fillable Fileable
Other-Instrument	5- NASA Education SCIS- EDUCATOR INSTRUMENT- Short Version- EDC.pdf	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title: NASA 10EDUA, NASA Education Program Evaluation System

FR Citation: 10 FR 15012

Number of Respondents: 210

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	210	210
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Short Form: NASA SCIS Educator Instruments	NASA Education STEM Challenges Impact Surveys-EDUCATOR INSTRUMENT SHORT FORM.pdf	10/21/2016
15-012 FRN for SORN	SORN.NASA 10EDUA.NASA Education Records.FRN 15-012.Mar.17.2015.pdf	10/21/2016

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