NASA K-12 Student Outcome Surveys (NASA Elementary School Survey, NASA Middle School Survey, and NASA High School Survey)

Generic Clearance for the NASA Office of STEM Engagement Performance Measurement and Evaluation (Testing)

Documents and Forms

Document Name Document Type
NASA K-12 Student Outcome Assessment Survey Screenshots.docx www.surveymonkey.com/r/CHFMFDP Other-Screenshots
NASA K-12 Student Outcome Assessment Survey_SurveyMonkey.docx www.surveymonkey.com/r/CHFMFDP Other-Survey text
NASA K-12 Student Outcome Assessment Survey (MT Generic Clearance) SHORT FORM_03162023.docx NASA K-12 Student Outcome Surveys (NASA Elementary School Survey, NASA Middle School Survey, and NASA High School Survey) IC Document

Information Collection (IC) Details

IC Title:	NASA K-12 Student Outcome Surveys (NASA Elementary School Survey, NASA Middle School Survey, and NASA High School Survey)	Agency IC Tracking Number:

IC Status: Removed

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-Screenshots			NASA K-12 Student Outcome Assessment Survey Screenshots.docx	https://www.surveymonkey.com/r/CHFMFDP	Yes	Yes	Fillable Fileable
Other-Survey text			NASA K-12 Student Outcome Assessment Survey_SurveyMonkey.docx	https://www.surveymonkey.com/r/CHFMFDP	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title: NASA 10EDUA, NASA STEM Engagement Program Evaluation System	FR Citation: 80 FR 72745

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-600	600
Annual IC Time Burden (Hours)	-200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NASA K-12 Student Outcome Surveys (NASA Elementary School Survey, NASA Middle School Survey, and NASA High School Survey)	NASA K-12 Student Outcome Assessment Survey (MT Generic Clearance) SHORT FORM_03162023.docx	03/16/2023

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