CHOH Baseline Survey

National Park Services Evaluation of Pilot Interventions to Increase Healthful Physical Activity in Parks

Documents and Forms

Document Name Document Type
AttachH_CHOH_SurveyBaseline.pdf Other-Survey
CHOH_Letters.doc Cover Letter and Mailings IC Document
Survey_Log.doc Survey Log IC Document

Information Collection (IC) Details

IC Title:	CHOH Baseline Survey	Agency IC Tracking Number:

Is this a Common Form? No		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-Survey			AttachH_CHOH_SurveyBaseline.pdf		No		Paper Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Cover Letter and Mailings	CHOH_Letters.doc	04/04/2007
Survey Log	Survey_Log.doc	04/04/2007

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