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

Generic Clearance for the NASA Office of Education Performance Measurement and Evaluation (Testing)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.