Information Collection

NASA Michoud Assembly Facility Daily COVID Reporting

IC 241259 under ICR 202004-2700-001 · OMB 2700-0176.

Documents and Forms

Document Name Document Type
Text Michoud COVID survey.docx docs.google.com/forms/d/e/1FAIpQLSfQaD5Yw6IRydr_t8C4kc0VpsecvrPD2zuHgypStnWDS37Qow/viewform?usp=sf_link Other-Survey
Screenshots Michoud COVID survey.docx docs.google.com/forms/d/e/1FAIpQLSfQaD5Yw6IRydr_t8C4kc0VpsecvrPD2zuHgypStnWDS37Qow/viewform?usp=sf_link Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NASA Michoud Assembly Facility Daily COVID Reporting	Agency IC Tracking Number:

Is this a Common Form? No		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			Text Michoud COVID survey.docx	https://docs.google.com/forms/d/e/1FAIpQLSfQaD5Yw6IRydr_t8C4kc0VpsecvrPD2zuHgypStnWDS37Qow/viewform?usp=sf_link	Yes	Yes	Fillable Fileable
Other-Survey			Screenshots Michoud COVID survey.docx	https://docs.google.com/forms/d/e/1FAIpQLSfQaD5Yw6IRydr_t8C4kc0VpsecvrPD2zuHgypStnWDS37Qow/viewform?usp=sf_link	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,760	5,760
Annual IC Time Burden (Hours)	269	269
Annual IC Cost Burden (Dollars)	8,064	8,064

Documents for IC

Title	Document	Date Uploaded
No associated records found

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