NASA SBIR/STTR Request for Information/Customer Experience Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
RFI survey text.docx www.surveymonkey.com/r/5W9QJ7M Other-Survey
RFI survey screenshots.docx www.surveymonkey.com/r/5W9QJ7M Other-Survey
Fast Track Short Form - SBIR RFI.docx Fast Track Short Form - SBIR RFI IC Document

Information Collection (IC) Details

IC Title:	NASA SBIR/STTR Request for Information/Customer Experience Survey	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			RFI survey text.docx	https://www.surveymonkey.com/r/5W9QJ7M	Yes	Yes	Fillable Fileable
Other-Survey			RFI survey screenshots.docx	https://www.surveymonkey.com/r/5W9QJ7M	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: 200	Number of Respondents for Small Entity: 200

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Short Form - SBIR RFI	Fast Track Short Form - SBIR RFI.docx	03/31/2022

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