Information Collection

Earthrise Feedback Questionnaire

IC 267347 under ICR 202505-2700-003 · OMB 2700-0153.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Text	https://www.surveymonkey.com/r/SYCZTZJ	Yes	Yes	Fillable Fileable
Other-Screen shots		Yes	Yes	Fillable Fileable
Other-Newsletter sample		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: 1,700

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	1,700	1,700
Annual IC Time Burden (Hours)	142	142
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Earthrise fast track form		04/30/2024

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].