NASA Human Exploration Rover Challenge (former NASA Great Moonbuggy)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form MSFC 4605 (REVISED Rover US Registration Form	Form and Instruction	Unchanged	Repair queued
Form MSFC 4606 (REVISED Rover Intl Registration Form	Form and Instruction	Unchanged	Repair queued
Form MSFC Form 4687 NASA Human Exploration Rover Challenge Returning Vehicle Report and Verification	Form and Instruction	Unchanged	Repair queued
Form MSFC 4607 Rover Student Data Form	Form and Instruction	Unchanged	Repair queued
Form MSFC 4606 Rover Intl Registration Form	Form and Instruction	Unchanged	Repair queued
Form MSFC 4604 Rover Volunteer Form	Form and Instruction	Unchanged	Repair queued
Form MSFC 4605 Rover US Registration Form	Form and Instruction	Unchanged	Repair queued
Form MSFC 4605 NASA Human Exploration Rover Challenge	Form and Instruction	Unchanged	Repair queued
10EDUA.pdf	Supplementary Document	Uploaded 2023-06-23	Repair queued
2700-0157 2023 SSA.docx	Supporting Statement A	Uploaded 2023-06-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209889	NASA Human Exploration Rover Challenge	Form and Instruction	Unchanged	Rover US Registration Form
209889	NASA Human Exploration Rover Challenge	Form and Instruction	Unchanged	Rover Intl Registration Form
209889	NASA Human Exploration Rover Challenge	Form and Instruction	Unchanged	NASA Human Exploration Rover Challenge Returning Vehicle Report and Verification
209889	NASA Human Exploration Rover Challenge	Form and Instruction	Unchanged	Rover Student Data Form
209889	NASA Human Exploration Rover Challenge	Form and Instruction	Unchanged	Rover Intl Registration Form
209889	NASA Human Exploration Rover Challenge	Form and Instruction	Unchanged	Rover Volunteer Form
209889	NASA Human Exploration Rover Challenge	Form and Instruction	Unchanged	Rover US Registration Form
209889	NASA Human Exploration Rover Challenge	Form and Instruction	Unchanged

ICR Details

OMB Control No: 2700-0157	ICR Reference No: 202306-2700-006
Status: Historical Active	Previous ICR Reference No: 201710-2700-006
Agency/Subagency: NASA	Agency Tracking No:
Title: NASA Human Exploration Rover Challenge (former NASA Great Moonbuggy)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/25/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2023	36 Months From Approved
Responses	1,260	0	0
Time Burden (Hours)	1,502	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This information collection supports the President's initiative to create opportunities to advance science, technology, engineering, and mathematics (STEM) education. The NASA Human Exploration Challenge/Great Moonbuggy Race is a vehicular engineering activity that targets both high school and college students. Participation is voluntary. It is designed to connect classroom training to tangible activities that enable practical application of STEM disciplines, cultivate innovative thinking, and embrace teamwork. This event is inspired by the original lunar rover that piloted across the Moon's surface in the early 1970's during the Apollo 15, 16, and 17 missions. Many NASA missions reapplied existing technology/reused shuttles -- adding improvements when possible and applicable. Therefore, in the spirit of continual improvement, and effective through this extension, teams can now re-use vehicles from previous events, provided at least fifty percent of the combined total structure and associated systems have been modified or replaced. The 'NASA Form 4687/Returning Vehicle Report and Verification' was added to this information collection for that purpose. Public participation remains voluntary.

---

Authorizing Statute(s): PL: Pub.L. 111 - 314 615(b)(1) Name of Law: NASA Space Act of 1958
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 22483	04/13/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 41128	06/23/2023
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
NASA Human Exploration Rover Challenge	MSFC 4605 (REVISED), MSFC 4606 (REVISED), MSFC 4605, MSFC 4604, MSFC 4606, MSFC 4607, MSFC Form 4687	Rover US Registration Form ,   Rover Volunteer Form ,   Rover Intl Registration Form ,   Rover Student Data Form ,   NASA Human Exploration Rover Challenge Returning Vehicle Report and Verification ,   Rover Intl Registration Form ,   Rover US Registration Form

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,260	0	0	0	0	1,260
Annual Time Burden (Hours)	1,502	0	0	0	0	1,502
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $7,425

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/23/2023

---