No title (non-response survey)

Please answer the five brief questions below, then return your completed survey in the enclosed self-addressed, stamped envelope.

❶ Over the past year, how many day trips would you say you’ve taken to ocean beaches in the local area? When we say “day trip” we mean any trip to the beach where you left home and returned home within the same day. (Circle one response.)

1 NONE 7 31 – 40 DAY TRIPS

2 1 – 5 DAY TRIPS 8 41 – 50 DAY TRIPS

3 6 – 10 DAY TRIPS 9 51 – 75 DAY TRIPS

4 11 – 15 DAY TRIPS 10 76 – 100 DAY TRIPS

5 16 – 20 DAY TRIPS 11 MORE THAN 100 DAY TRIPS

6 21 – 30 DAY TRIPS

❷ Did you take any day trips to ocean beaches in the local area in June, July, or August of 2013?

1 YES How many? ____________

2 NO

❸ In general, how concerned would you be to see garbage or manmade debris while visiting a local beach? (Circle one number.)

NOT AT ALL CONCERNED				VERY CONCERNED
1	2	3	4	5

❹ Have you participated in any beach cleanups within the last three years?

1 YES

2 NO

❺ How many adults and children live in your household?

______ ADULTS (18 or older)

______ CHILDREN (under 18)

Paperwork Reduction Act Statement

The National Oceanic and Atmospheric Administration (NOAA) is authorized by 33 U.S.C. 1951 et seq. to conduct this survey. The information collected will be used by NOAA to prioritize and assess efforts to reduce marine debris.

Public reporting burden for this collection of information is estimated to average five minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other suggestions for reducing this burden to Jason Landrum, NOAA NOS, 1305 East-West Hwy, SSMC4, Room 10239, Silver Spring, MD 20910.

The questionnaire has an identification number for mailing purposes only. Your name and address will be deleted after we receive your completed questionnaire. Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number.

OMB Control Number XXXX –XXXX | Current Expiration Date: XX/XX/XXXX

THANK YOU for taking the time to participate!