Information Collection

10% Sample reminder postcard and second mailing respondents

IC 195455 under ICR 201107-1090-001 · OMB 1090-0010.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Reminder Postcard with Web Survey Offer.docx	Instruction
Letter sent with second survey mailing.docx	Instruction
Klamath Nonuse Valuation Survey 29 page Survey Instrument 070811 for ICR.docx XXXX.rti.org	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Reminder Postcard with Web Survey Offer.docx		No		Paper Only
Instruction			Letter sent with second survey mailing.docx		No		Paper Only
Form and Instruction	None	Klamath Nonuse Valuation Survey	29 page Survey Instrument 070811 for ICR.docx	https://XXXX.rti.org	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 86

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	86	86
Annual IC Time Burden (Hours)	43	43
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.