Information Collection

OMB Application NASA WSPRRR Low Boom Community Response Test

IC 231654 under ICR 201806-2700-001 · OMB 2700-0167.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
QSF18 1 Participant Recruitment Letter 2018-0611.docx src.survey.psu.edu/qsf18/	Other-recruitment letter
QSF18 2 Reminder postcard 2018-0611.docx src.survey.psu.edu/qsf18/	Other-post card
QSF18 3 Survey Introductory Page 2018-0611.docx src.survey.psu.edu/qsf18/	Instruction
QSF18 4 Consent Background and Reminder Confirmation 2018-0611.docx src.survey.psu.edu/qsf18/	Other-script
QSF18 5 Single Event Survey 2018-0611.docx src.survey.psu.edu/qsf18/	Other-Survey script
QSF18 6 Daily Summary 2018-0611.docx src.survey.psu.edu/qsf18/	Other-Survey script
QSF18 7 Post test feedback 2018-0611.docx src.survey.psu.edu/qsf18/	Other-Survey script
Screen shots QSF18 Daily Summary Survey 2018-0611.docx src.survey.psu.edu/qsf18/	Other-Survey screenshot
Screen shots QSF18 Introductory Background Text Confirm 2018-0611.docx src.survey.psu.edu/qsf18/	Other-Survey screenshot
Screen shots QSF18 Post Test Feedback 2018-0611.docx src.survey.psu.edu/qsf18/	Other-Survey screenshot
Screen shots QSF18 Single Event Survey 2018-0611.docx src.survey.psu.edu/qsf18/	Other-Survey screenshot
Supporting Statement Parts A & B.DOCX Support Statement for Low Boom Information Collection Requirements	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-recruitment letter	QSF18 1 Participant Recruitment Letter 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Printable Only
Other-post card	QSF18 2 Reminder postcard 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Printable Only
Instruction	QSF18 3 Survey Introductory Page 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Fillable Fileable
Other-script	QSF18 4 Consent Background and Reminder Confirmation 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Fillable Fileable
Other-Survey script	QSF18 5 Single Event Survey 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Fillable Fileable
Other-Survey script	QSF18 6 Daily Summary 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Fillable Fileable
Other-Survey script	QSF18 7 Post test feedback 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Fillable Fileable
Other-Survey screenshot	Screen shots QSF18 Daily Summary Survey 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Fillable Fileable
Other-Survey screenshot	Screen shots QSF18 Introductory Background Text Confirm 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Fillable Fileable
Other-Survey screenshot	Screen shots QSF18 Post Test Feedback 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Fillable Fileable
Other-Survey screenshot	Screen shots QSF18 Single Event Survey 2018-0611.docx	http://src.survey.psu.edu/qsf18/	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	14,500	14,500

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Support Statement for Low Boom Information Collection Requirements	Supporting Statement Parts A & B.DOCX	06/12/2018

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