Presidential Award for Excellence in Mathematics and Science Teaching Recognition Event Evaluation Form

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0215 can be found here:

Documents and Forms

Document Name Document Type
Final Evaluation Form (2012 PAEMST Recognition Event)_3-4-2014.docx Other-Customer Satisfaction Survey
Generic Clearance Submission Template_2013 Eval PAEMST Recognition.docx Supporting Statement for PAEMST Event IC Document
THE WHITE HOUSE PAEMST Announcement.docx PAEMST Awardees IC Document

Information Collection (IC) Details

IC Title:	Presidential Award for Excellence in Mathematics and Science Teaching Recognition Event Evaluation Form	Agency IC Tracking Number:

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-Customer Satisfaction Survey			Final Evaluation Form (2012 PAEMST Recognition Event)_3-4-2014.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 108	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	108	108
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement for PAEMST Event	Generic Clearance Submission Template_2013 Eval PAEMST Recognition.docx	07/22/2015
PAEMST Awardees	THE WHITE HOUSE PAEMST Announcement.docx	07/22/2015

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