Hollings & EPP/MSI Mentor Survey

OMB Control Number 0648-0568, expires XX/XX/20XX

Public Burden Statement
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be
subject to a penalty for failure to comply with an information collection subject to the requirements of the
Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number.
The approved OMB Control Number for this information collection is 0648-0568. Without this approval, we could
not conduct this survey. Public reporting for this information collection is estimated to be approximately 15 minutes
per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the information collection. All responses to this
information collection are voluntary. Send comments regarding this burden estimate or any other aspect of this
information collection,
including suggestions for reducing this burden to the NOAA Office of Education, Natasha White,
Natasha.White@noaa.gov.

NOAA Routine Uses: NOAA will use this information to evaluate and assess student data and
information for the purpose of selecting successful candidates for scholarships, fellowships and
internships, generating internal NOAA reports, and articles to demonstrate the success of its
program.
Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a) to be shared
among NOAA staff for work-related purposes. Disclosure of this information is also subject to all of the
published routine uses as identified in the Privacy Act System of Records Notice Commerce/NOAA-14, Office
of Education, Educational Partnership Program (EPP/MSI); Ernest F. Hollings Undergraduate Scholarship
Program and National Marine Fisheries Service Recruitment, Training, and Research Program.
Obligation to Respond: Furnishing this information is voluntary; however, failure to provide
information may prevent consideration of your application for the program.