Information Collection

NASA Michoud Assembly Facility Daily COVID Reporting

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

Documents and Forms

Documents and forms in this information collection
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

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.