Land Buy-Back Program Landowner Participation Survey

DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.