Information Collection

NASA Institutional Research Capacity Evaluation Survey and Interview Protocol

IC 259741 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⚠️ Notice: This information collection may be referencing outdated material.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 EPSCoR IRC Outcome Assessment Interview Protocol (4-17-23).docx www.surveymonkey.com/r/NNJK892	Other-Interview Protocol
NASA EPSCoR IRC Outcome Assessment Survey Screenshots (4-17-23).docx www.surveymonkey.com/r/NNJK892	Other-Screenshots
IRC Outcome Assessment Survey (4-17-23).docx www.surveymonkey.com/r/NNJK892	Other-Survey text
NASA EPSCoR IRC Outcome Assessment Evaluation Survey and Interview Protocol (MT Generic Clearance) SHORT FORM (4-17-23).docx NASA Institutional Research Capacity Evaluation Survey and Interview Protocol	IC Document

IC Title:

NASA Institutional Research Capacity Evaluation Survey and Interview Protocol

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-Interview Protocol	NASA EPSCoR IRC Outcome Assessment Interview Protocol (4-17-23).docx	https://www.surveymonkey.com/r/NNJK892	Yes	Yes	Fillable Fileable
Other-Screenshots	NASA EPSCoR IRC Outcome Assessment Survey Screenshots (4-17-23).docx	https://www.surveymonkey.com/r/NNJK892	Yes	Yes	Fillable Fileable
Other-Survey text	IRC Outcome Assessment Survey (4-17-23).docx	https://www.surveymonkey.com/r/NNJK892	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 72745

Number of Respondents: 350

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	350	350
Annual IC Time Burden (Hours)	158	158
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NASA Institutional Research Capacity Evaluation Survey and Interview Protocol	NASA EPSCoR IRC Outcome Assessment Evaluation Survey and Interview Protocol (MT Generic Clearance) SHORT FORM (4-17-23).docx	04/17/2023

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