Information Collection

NASA Office of STEM Engagement Engineering Design Challenge Impact Surveys: Student Retrospective Survey

IC 240966 under ICR 201804-2700-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Screenshots Retrospective Survey Grades 3-8.docx www.surveymonkey.com/r/Retrospectivesurvey3-8grades	Other-Survey
Text Retrospective Survey Grades 3-8.docx www.surveymonkey.com/r/Retrospectivesurvey3-8grades	Other-Survey
Supporting Statement Retrospective Survey Grades 3-8.docx Supporting Statement Retrospective Survey Grades 3-8	IC Document
NASA EDC_Passive Consent Notice.docx NASA EDC_Passive Consent Notice	IC Document

IC Title:

NASA Office of STEM Engagement Engineering Design Challenge Impact Surveys: Student Retrospective Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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
Other-Survey			Screenshots Retrospective Survey Grades 3-8.docx	https://www.surveymonkey.com/r/Retrospectivesurvey3-8grades	Yes	Yes	Fillable Fileable
Other-Survey			Text Retrospective Survey Grades 3-8.docx	https://www.surveymonkey.com/r/Retrospectivesurvey3-8grades	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title: NASA 10EDUA, NASA STEM Engagement Program Evaluation System

FR Citation: 80 FR 13899

Number of Respondents: 3,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	925	925
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Retrospective Survey Grades 3-8	Supporting Statement Retrospective Survey Grades 3-8.docx	03/25/2020
NASA EDC_Passive Consent Notice	NASA EDC_Passive Consent Notice.docx	03/25/2020

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