Information Collection

CHOH Post-Intervention Survey

IC 179460 under ICR 200703-1024-001 · OMB 1024-0253.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AttachI_CHOH_SurveyPost.pdf	Other-Survey
CHOH_Letters.doc CHOH Cover Letter & Mailings	IC Document
Survey_Log.doc Survey Log	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			AttachI_CHOH_SurveyPost.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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CHOH Cover Letter & 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.