Information Collection

Northwest Regional Survey

IC 212338 under ICR 201407-1024-001 · OMB 1024-0255.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NORTHWEST 9-24-2014.doc	Other-Survey Instrument
Map_Northwest_V1R2.pdf	Other-Map
Poster_Northwest-AlpineLakes_V1R1.pdf	Other-Photos

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Electronic Capability
Other-Survey Instrument	No	Paper Only
Other-Map	No	Paper Only
Other-Photos	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: 1,120

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,120	1,120
Annual IC Time Burden (Hours)	467	467
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.

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