Information Collection

NASA K-12 Student Outcome Surveys (NASA Elementary School Survey, NASA Middle School Survey, and NASA High School Survey)

IC 253832 under ICR 202312-2700-002 · OMB 2700-0159.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0159 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NASA Middle School Survey.docx www.surveymonkey.com/r/NASAmiddle	Other-Survey
NASA Middle School Survey Screenshots (5-20-22).docx www.surveymonkey.com/r/NASAmiddle	Other-Survey
NASA High School Survey.docx www.surveymonkey.com/r/NASAhighschool	Other-Survey
NASA High School Survey Screenshots (5-20-22).docx www.surveymonkey.com/r/NASAhighschool	Other-Survey
NASA Elementary School Survey Screenshots (5-20-22).docx www.surveymonkey.com/r/NASAelementary	Other-Survey
NASA Elementary School Survey.docx www.surveymonkey.com/r/NASAelementary	Other-Survey
NASA K-12 Student Outcome Assessment (Suite of Surveys MT Generic Clearance) SHORT FORM (5-20-22).docx NASA K-12 Student Outcome Assessment (Suite of Surveys MT Generic Clearance) SHORT FORM (5-20-22)	IC Document

IC Title:

NASA K-12 Student Outcome Surveys (NASA Elementary School Survey, NASA Middle School Survey, and NASA High School Survey)

Agency IC Tracking Number:

IC Status: Unchanged

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-Survey	NASA Middle School Survey.docx	https://www.surveymonkey.com/r/NASAmiddle	Yes	Yes	Fillable Fileable
Other-Survey	NASA Middle School Survey Screenshots (5-20-22).docx	https://www.surveymonkey.com/r/NASAmiddle	Yes	Yes	Fillable Fileable
Other-Survey	NASA High School Survey.docx	https://www.surveymonkey.com/r/NASAhighschool	Yes	Yes	Fillable Fileable
Other-Survey	NASA High School Survey Screenshots (5-20-22).docx	https://www.surveymonkey.com/r/NASAhighschool	Yes	Yes	Fillable Fileable
Other-Survey	NASA Elementary School Survey Screenshots (5-20-22).docx	https://www.surveymonkey.com/r/NASAelementary	Yes	Yes	Fillable Fileable
Other-Survey	NASA Elementary School Survey.docx	https://www.surveymonkey.com/r/NASAelementary	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title: NASA 10EDUA, NASA STEM Engagement Program Evaluation System

FR Citation: 80 FR 13899

Number of Respondents: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NASA K-12 Student Outcome Assessment (Suite of Surveys MT Generic Clearance) SHORT FORM (5-20-22)	NASA K-12 Student Outcome Assessment (Suite of Surveys MT Generic Clearance) SHORT FORM (5-20-22).docx	05/24/2022

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