Dropping In a Microgravity Environment(DIME)

Forms and Documents

Document Name	Status
Form NASA C-3707 Dropping In a Microgravity Environment (DIME) Form	New
DIME_IPTA.pdf Supplementary Document	2010-12-03
Supporting Statement Section for DIME_nov2010.doc Supporting Statement A	2010-12-03

IC Document Collections

IC ID	Document Title	Status
195211	Dropping In a Microgravity Environment (DIME) Form	New

ICR Details

OMB Control No: 2700-0144	ICR Reference No: 201011-2700-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: NASA	Agency Tracking No:
Title: Dropping In a Microgravity Environment(DIME)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/10/2010
	Date Received in OIRA: 11/09/2010
Terms of Clearance: This collection is approved based upon the revised materials provided by the agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2013	36 Months From Approved
Responses	20	0	0
Time Burden (Hours)	8	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Dropping In a Microgravity Environment (DIME) is a high school education program where teams of students design, propose and build an experiment that is conducted in the 2.2 Second Drop Tower at NASA GRC. In order for the students/advisors to get access to the Glenn Research Center, they must fill out NASA form C3070, Education Program Office DIME; and NASA form C3071, Waiver of Compensation/Student Certification DIME. For photos that may be taken, teams must fill out NASA form C3072 Release Form for Appearance in Photographs of Other Image-based Media or Production by or for the NASA Glenn Research Center. In case there is an emergency or accident involving a participant, they must fill out NASA form C3073, Emergency Medical Authorization DIME. For demographics data, attendees may fill out (if they so choose) the voluntary NASA form C3074, Student Information.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	10 FR 101	09/03/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	10 FR 138	10/26/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Dropping In a Microgravity Environment (DIME)	NASA C-3071, NASA C-3072, NASA C-3072, NASA C-3707, NASA C-3074	Dropping In a Microgravity Environment (DIME) ,   Waiver of Compensation/Student Certification ,   Release Form ,   Emergency Medical Authorization ,   Student Information

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	20	0	0	20	0	0
Annual Time Burden (Hours)	8	0	0	8	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is done one time a year and only for the students/teachers visiting GRC for this program.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/09/2010

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