Information Collection

Region-Wide Survey

IC 45846 under ICR 201002-0596-003 · OMB 0596-0205.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey_Spanish_8 13 2010 FINAL.doc	Other-Survey Spanish
survey_final_20070412-08-11-10.doc	Other-Survey English

IC Title:

Region-Wide Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 36 CFR 219

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 Spanish			Survey_Spanish_8 13 2010 FINAL.doc		Yes	Yes	Fillable Fileable
Other-Survey English			survey_final_20070412-08-11-10.doc		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,202

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	20,202	20,202
Annual IC Time Burden (Hours)	6,734	6,734
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.