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Earthrise Feedback Questionnaire
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2700-0153
IC ID: 267347
OMB.report
NASA
OMB 2700-0153
ICR 202407-2700-003
IC 267347
( )
Documents and Forms
Document Name
Document Type
Earthrise Feedback Questionnaire (4-30-24).docx
www.surveymonkey.com/r/SYCZTZJ
Other-Text
Earthrise Feedback Questionnaire (4-30-24).docx
www.surveymonkey.com/r/SYCZTZJ
Other-Text
Earthrise Feedback Questionnaire SCREEN SHOTS (4-30-24).docx
Other-Screen shots
Earthrise Feedback Questionnaire SCREEN SHOTS (4-30-24).docx
Other-Screen shots
Earthrise Newsletter Screen Shot with Survey Language (4-24-24).docx
Other-Newsletter sample
Earthrise Newsletter Screen Shot with Survey Language (4-24-24).docx
Other-Newsletter sample
Earthrise Feedback Questionnaire - Fast Track Short Form (4-23-24).docx
Earthrise fast track form
IC Document
Earthrise Feedback Questionnaire - Fast Track Short Form (4-23-24).docx
Earthrise fast track form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Earthrise Feedback Questionnaire
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-Text
Earthrise Feedback Questionnaire (4-30-24).docx
https://www.surveymonkey.com/r/SYCZTZJ
Yes
Yes
Fillable Fileable
Other-Screen shots
Earthrise Feedback Questionnaire SCREEN SHOTS (4-30-24).docx
Yes
Yes
Fillable Fileable
Other-Newsletter sample
Earthrise Newsletter Screen Shot with Survey Language (4-24-24).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
1,700
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,700
0
0
0
0
1,700
Annual IC Time Burden (Hours)
142
0
0
0
0
142
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Earthrise fast track form
Earthrise Feedback Questionnaire - Fast Track Short Form (4-23-24).docx
04/30/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.