NASA Institutional Research Capacity Evaluation Survey and Interview Protocol

Generic Clearance for the NASA Office of STEM Engagement Performance Measurement and Evaluation (Testing)

Documents and Forms

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

Information Collection (IC) Details

IC Title:	NASA Institutional Research Capacity Evaluation Survey and Interview Protocol	Agency IC Tracking Number:

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	Program Change Due to Agency Discretion	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

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.