Palo Alto Field Trip Evaluation

DOI Programmatic Clearance for Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1040-0001 can be found here:

Documents and Forms

Document Name Document Type
Palo Alto Field Trip Evaluation Form and Instruction
Student Field Trip Evaluation Student_FT_Eval_ELEM_-11-2-2011.pdf Form and Instruction
Teacher Field Trip Evaluation Teacher_FT_Eval_11-14-2011.pdf Form and Instruction
Introduction_Letter_11-22-2011.pdf Letter to teachers IC Document
Reminder_Letter_11-22-2011.pdf Reminder letter IC Document
Justification_-_Palo_Alto_Field_Trip_Evaluation.docx Justification for Palo Alto Field Trip Evaluation IC Document

Information Collection (IC) Details

IC Title:	Palo Alto Field Trip Evaluation	Agency IC Tracking Number:	CSS-7

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Student Field Trip Evaluation	Student_FT_Eval_ELEM_-11-2-2011.pdf		No		Paper Only
Form and Instruction	None	Teacher Field Trip Evaluation	Teacher_FT_Eval_11-14-2011.pdf		No		Paper Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,872	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,872	1,872
Annual IC Time Burden (Hours)	152	152
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter to teachers	Introduction_Letter_11-22-2011.pdf	03/24/2012
Reminder letter	Reminder_Letter_11-22-2011.pdf	03/24/2012
Justification for Palo Alto Field Trip Evaluation	Justification_-_Palo_Alto_Field_Trip_Evaluation.docx	03/24/2012

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