Order Form for NOAA Biogeography Branch Product

OMB Control No. 0690-0030

Expiration Date: 04/30/2014

(This is a form that will be used at ~ six different project pages on the Biogeography branch website)

Order Form for NOAA Biogeography Branch Product

I am requesting the following NOAA Biogeography Products:

_____________________________________________________________

Name of Product

[This may automatically load the product name if they order something online.]

Products are available at no cost. Once order requests are received, products will be packaged and distributed in 1-2 weeks if they are still available. If not, we will let you know, but most of our products are available digitally online. Thank you for your interest in Biogeography Branch products.

Order Form

Submission Detail

Address Information

Name or Job Title  Enter your name

Email Address Useful if we have problems responding to your requestRequi

Your Organization

Street Address * (Required if we are mailing a hard copy)

City, State, Zip Code * (Required if we are mailing a hard copy)

Type of Organization

Please choose an option which best describes your organization?

 

Options: Federal Government Agency
State/Local Government Agency
Academic Institution
Non-Governmental Institution
Other

Purpose of Use/Activity for Product

Which of the following best describes the type of activity or purpose for which you will be using the product? (You may choose more than one)

Commerce

Management

Monitoring

Public Education and Outreach

Research

Other

Public reporting burden for this collection of information is estimated to average 5 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 Tracy Gill, 301-713-3028 x 150, or [email protected].

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.