On-site survey at 3 NPS Battlefields (LIBI, BIHO, and BEPA)

Programmatic Review for NPS-Sponsored Public Surveys

Survey Log Sheet 11-17-2011

On-site survey at 3 NPS Battlefields (LIBI, BIHO, and BEPA)

OMB: 1024-0224

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Survey Log Sheet
When
Date
Time

Alone?

Respondent
Volunteered

Respondent
Declined

M/F

Race

Location

Potential Respondent
Purpose of Visit?

Significance of Battlefield?

Reason for Declined
Participation?

1

Non-Respondent Survey Questions

Why did you visit Little Bighorn Battlefield today?
What do you think is the significance of Little Bighorn Battlefield?
Why do you decline to participate in the survey?

Gender: � Female
� Male
Current state or country of residency:
_____________________________

What is your race? (check one or more)
� American Indian or Alaskan Native
� Asian
� Black or African American
� Native Hawaiian or other Pacific Islander
� White
Are you Hispanic or Latino? (check one)
� Yes
� No

2


File Typeapplication/pdf
AuthorCPSU
File Modified2011-11-21
File Created2011-11-21

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