NASA Human Exploration Rover Challenge

NASA Human Exploration Rover Challenge (former NASA Great Moonbuggy)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0157 can be found here:

Documents and Forms

Document Name Document Type
Form MSFC 4605 NASA Human Exploration Rover Challenge Form and Instruction
MSFC 4605 Rover US Registration Form MSFC 4605-Rover_US_Registration_revised.pdf Form and Instruction
MSFC 4604 Rover Volunteer Form MSFC 4604-RoverVolunteerv2.pdf Form and Instruction
MSFC 4606 Rover Intl Registration Form MSFC 4606-Rover_Intl_Registration_revised.pdf Form and Instruction
MSFC 4607 Rover Student Data Form MSFC 4607-Rover_StudentDataForm_revised.pdf Form and Instruction
MSFC Form 4687 NASA Human Exploration Rover Challenge Returning Vehicle MSFC Form 4687.Returning Vehicle Report and Verification._.docx Form and Instruction

Information Collection (IC) Details

IC Title:	NASA Human Exploration Rover Challenge	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MSFC 4605	Rover US Registration Form	MSFC 4605-Rover_US_Registration_revised.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	MSFC 4604	Rover Volunteer Form	MSFC 4604-RoverVolunteerv2.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	MSFC 4606	Rover Intl Registration Form	MSFC 4606-Rover_Intl_Registration_revised.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	MSFC 4607	Rover Student Data Form	MSFC 4607-Rover_StudentDataForm_revised.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	MSFC Form 4687	NASA Human Exploration Rover Challenge Returning Vehicle Report and Verification	MSFC Form 4687.Returning Vehicle Report and Verification._.docx	Yes	Yes	Fillable Printable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title: n/a	FR Citation: 13 FR 24225

Number of Respondents: 1,260	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,260	300	960
Annual IC Time Burden (Hours)	1,502	1,424	78
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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