Information Collection

PWS User Survey

IC 183913 under ICR 200802-0596-003 · OMB 0596-0211.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey_instrument.doc	Other-Survey
layout example PWS Survey.pdf Survey Layout	IC Document
questionaire_map_Cordova.pdf Survey Map - Cordova	IC Document
questionaire_map_Glacier.pdf Survey Map - Glacier	IC Document

IC Title:

PWS User Survey

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			Survey_instrument.doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

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	500	500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Layout	layout example PWS Survey.pdf	02/26/2008
Survey Map - Cordova	questionaire_map_Cordova.pdf	02/26/2008
Survey Map - Glacier	questionaire_map_Glacier.pdf	02/26/2008

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