Information Collection

Pre- and Post-Assessment of Youth's Experiences in SoCal Urban Wildlife Refuge Project Programs

IC 227588 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⚠️ Notice: This information collection may be referencing outdated material.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
FWS Urban Instrument v2.pdf	Other-Customer Experience Survey
SoCal Urgan Wildlife Refuge Project Generic Clearance Form 07132017.docx Request for Approval	IC Document

IC Title:

Pre- and Post-Assessment of Youth's Experiences in SoCal Urban Wildlife Refuge Project Programs

Agency IC Tracking Number:

FT - 66

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-Customer Experience Survey			FWS Urban Instrument v2.pdf		No		Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

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	700	700
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	SoCal Urgan Wildlife Refuge Project Generic Clearance Form 07132017.docx	07/19/2017

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