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Term and Condition Notification of Harassment Form
Term and Condition Notification of Harassment Form
OMB: 2700-0185
IC ID: 247340
OMB.report
NASA
OMB 2700-0185
ICR 202105-2700-001
IC 247340
( )
Documents and Forms
Document Name
Document Type
Screenshot for Harassment Reporting.docx
nasa-my.sharepoint.com/:w:/g/personal/wkeeter_ndc_nasa_gov/ES9kZzVHhH9BgLaTa3YuNigBFTQIEnVP2iMn4fEUJwuVCg?e=97PQeE
Other-web form
Screenshot for Harassment Reporting.docx
nasa-my.sharepoint.com/:w:/g/personal/wkeeter_ndc_nasa_gov/ES9kZzVHhH9BgLaTa3YuNigBFTQIEnVP2iMn4fEUJwuVCg?e=97PQeE
Other-web form
Text Harassment Reporting.docx
nasa-my.sharepoint.com/:w:/g/personal/wkeeter_ndc_nasa_gov/ES9kZzVHhH9BgLaTa3YuNigBFTQIEnVP2iMn4fEUJwuVCg?e=97PQeE
Other-web form
Text Harassment Reporting.docx
nasa-my.sharepoint.com/:w:/g/personal/wkeeter_ndc_nasa_gov/ES9kZzVHhH9BgLaTa3YuNigBFTQIEnVP2iMn4fEUJwuVCg?e=97PQeE
Other-web form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Term and Condition Notification of Harassment Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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-web form
Screenshot for Harassment Reporting.docx
https://nasa-my.sharepoint.com/:w:/g/personal/wkeeter_ndc_nasa_gov/ES9kZzVHhH9BgLaTa3YuNigBFTQIEnVP2iMn4fEUJwuVCg?e=97PQeE
Yes
Yes
Fillable Fileable
Other-web form
Text Harassment Reporting.docx
https://nasa-my.sharepoint.com/:w:/g/personal/wkeeter_ndc_nasa_gov/ES9kZzVHhH9BgLaTa3YuNigBFTQIEnVP2iMn4fEUJwuVCg?e=97PQeE
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:
550
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
550
0
550
0
0
0
Annual IC Time Burden (Hours)
2,200
0
2,200
0
0
0
Annual IC Cost Burden (Dollars)
110,000
0
110,000
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.