Information Collection

Land Buy-Back Program Landowner Participation Survey

IC 220778 under ICR 201503-1090-001 · OMB 1090-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Census Survey edits 3.22.16.docx	Other-Survey
1090-0011 Qualitative Fast Track BBP Approval Request 3.18.16.docx Justification DOcument	IC Document
Census letter 031516.docx Survey Introduction Letter	IC Document

IC Title:

Land Buy-Back Program Landowner Participation Survey

Agency IC Tracking Number:

FT - 31

IC Status: New

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
Other-Survey			Census Survey edits 3.22.16.docx		No		Paper Only

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21,600

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	21,600	21,600
Annual IC Time Burden (Hours)	1,800	1,800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification DOcument	1090-0011 Qualitative Fast Track BBP Approval Request 3.18.16.docx	03/25/2016
Survey Introduction Letter	Census letter 031516.docx	03/25/2016

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