Information Collection

NASA Office of Education STEM Challenges

IC 197060 under ICR 202306-2700-005 · OMB 2700-0150.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
A1 Student Survey.Baseline.docx	Other-Survey
A1 Student Survey.Baseline.docx	Other-Survey
A2.Youth Baseline Survey.Crosswalk.docx	Other-Youth Baseline Survey Crosswal
A2.Youth Baseline Survey.Crosswalk.docx	Other-Youth Baseline Survey Crosswal
A3.Student SurveyFollow up.docx	Other-Survey
A3.Student SurveyFollow up.docx	Other-Survey
A5. Parental.Guardian Consent.docx	Other-Parental Consent and Study Ove
A5. Parental.Guardian Consent.docx	Other-Parental Consent and Study Ove
A4.Youth Survey Followup crosswalk.docx	Other-Crosswalk
A4.Youth Survey Followup crosswalk.docx	Other-Crosswalk

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	A1 Student Survey.Baseline.docx	Yes	No	Fillable Printable
Other-Youth Baseline Survey Crosswalk	A2.Youth Baseline Survey.Crosswalk.docx	No		Printable Only
Other-Survey	A3.Student SurveyFollow up.docx	Yes	No	Printable Only
Other-Parental Consent and Study Overview	A5. Parental.Guardian Consent.docx	Yes	Yes	Fillable Fileable
Other-Crosswalk	A4.Youth Survey Followup crosswalk.docx	Yes	No	Printable Only

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 810

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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,620	1,620
Annual IC Time Burden (Hours)	162	162
Annual IC Cost Burden (Dollars)	0	0

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.