Date of this Submission (MM/DD/YYYY):
April 4, 2007
Glenn Research Center
Is this application or information collection new or is an existing one being modified?
New data collection
Does this application collect, maintain, and/or disseminate information in identifiable form (IIF)?
Contact information for potential respondent population is in identifiable form (IIF).
Mission Program/Project Supported:
NASA Explorer Schools project
Identifying Numbers (Use N/A, where appropriate)
Privacy Act System of Records Number: n/a
OMB Information Collection Approval Number and Expiration Date:
Other Identifying Number(s):
1. Provide an overview of the application and indicate the legislation authorizing this activity.
The application facilitates the annual collection of information needed for selection of NASA Explorer Schools (NES) across the United States. The three-year NES project promotes and supports the use of NASA content, missions, and opportunities to support school improvement plans in science, mathematics, and technology education.
The NES project is one NASA initiative to achieve the educational outcomes as directed by the Space Act of 1958, the Vision for Space Exploration, NASA's Education Strategic Coordination Framework as well as the Strategic Management of Human Capital initiative under the President's Management Agenda.
2. Describe the information the agency will collect, maintain, or disseminate and how the agency will use the information. In this description, indicate whether the information contains IIF and whether submission is voluntary or mandatory.
3. Explain how the IIF collected, maintained, and/or disseminated is the minimum necessary to accomplish the purpose for this effort.
Each element of information collected is necessary to determine whether NES applicants meet the criteria necessary for probable project success.
4. Explain why the IIF is being collected, maintained, or disseminated.
Information collected is necessary to determine which applicants should be selected to participate in the three-year NES project.
5. Identify with whom the agency will share the IIF.
As the system host for the online Web site form, NSTA, a NASA grantee, will have access to the IIF.
6. Describe how the IIF will be obtained, from whom it will be collected, what the suppliers of information and the subjects will be told about the information collection, and how this message will be conveyed to them (e.g., written notice, electronic notice if a Web-based collection, etc.). Describe any opportunities for consent provided to individuals regarding what information is collected and how the information will be shared.
7. State wheather personal information will be collected from children under age 13 on the Internet and, if so, how parental or guardian approval will be obtained. (Reference: Children's Online Privacy Protection Act of 1998).Neither NSTA nor NES will collect information from children under age 13 on the Internet.
8. Describe how the IIF will be secured.
Access to IIF is secured via an assigned user ID and password-protected connection.
9. Describe plans for retention and destruction of IIF.
IIF will be maintained per the direction of Schedule 1, Item 68, Educational Programs, of the NASA Records Retention Schedules or the General Records Schedules.
10. Identify whether a system of records is being created under section 552a of the Title 5, United States Code (the Privacy Act), or identify the existing Privacy Act system of records notice under which the records will be maintained.
The system is not subject to the Privacy Act therefore a system of records is not applicable.
11. Identify a point of contact to whom a member of the public can address questions concerning the information system and the privacy concerns associated with it: Robert F. LaSalvia at (216) 433-6961.
Robert F. LaSilvia
NES Program Manager
Center Privacy Act Manager
Patti F. Stockman
NASA Privacy Act Officer
Sasi K. Pillay
Center Chief Information Officer
Approved for Publication:
Jonathan Q. Pettus
Chief Information Officer