View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2700-0161	ICR Reference No: 201905-2700-003
Status: Historical Active	Previous ICR Reference No: 201810-2700-001
Agency/Subagency: NASA	Agency Tracking No:
Title: NASA Grant Application Demographic Data
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/01/2019
	Date Received in OIRA: 05/21/2019
Terms of Clearance: This collection is approved based on the revised materials provided by the Agency.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	36 Months From Approved	08/31/2019
Responses	5,000	0	1,000
Time Burden (Hours)	417	0	83
Cost Burden (Dollars)	17,200	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	5,000	1,000	4,000
Annual Time Burden (Hours)	417	83	334
Annual Cost Burden (Dollars)	17,200	0	17,200

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: The burden increased because more respondents completed the form than we initially anticipated; therefore, we increased the number of respondents based on recent data.

Annual Cost to Federal Government: $37,500

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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

Agency Contact: Gatrie Johnson 202 358-1013 gatrie.johnson@nasa.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.