The International Space Station (ISS) presents a significant acoustics challenge considering all of the modules and equipment that make it an on-orbit laboratory workshop and home with long-term crew occupation. This challenge is further complicated by the fact that there are numerous suppliers of ISS hardware, including the international partners. This paper addresses how ISS acoustics are managed to ensure a safe and habitable environment by establishing requirements, providing oversight and design support, sharing lessons learned and information, testing for hardware compliance, predicting future acoustic levels, and performing on-orbit measurements and monitoring of actual acoustic levels. ISS acoustic requirements are classified in three categories by the type of hardware involved: modules; payloads, and Government Furnished Equipment. The current status of overall ISS acoustics for each of these hardware categories will be discussed. In addition, examples will be discussed where NASA design support was used to aid in obtaining compliance, where difficulties were encountered, and where areas of concern were addressed.