Information Collection

West Coast Community Household Survey

IC 181345 under ICR 200805-0648-007 · OMB 0648-0579.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CommunitySurvey_HouseholdIntroductionLetter_081908.pdf	Other-Introduction letter
CommunitySurvey_HouseholdReminderPostcard_081908.pdf	Other-Reminder postcard
Community survey household questionnaire CommunitySurvey_HouseholdQuestionnaire and CoverLetter_081908.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Introduction letter			CommunitySurvey_HouseholdIntroductionLetter_081908.pdf	No		Paper Only
Other-Reminder postcard			CommunitySurvey_HouseholdReminderPostcard_081908.pdf	No		Paper Only
Form and Instruction	NA	Community survey household questionnaire	CommunitySurvey_HouseholdQuestionnaire and CoverLetter_081908.pdf	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,378

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	1,378	1,378
Annual IC Time Burden (Hours)	689	689
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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