John Heinz National Wildlife Refuge – Transportation Feedback Form

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⚠️ Notice: This information collection may be referencing outdated material.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
John Heinz NWR Transit Survey Instrument.pdf Other-Survey
John Heinz NWR Transit Survey Fast Track Request Form.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	John Heinz National Wildlife Refuge – Transportation Feedback Form	Agency IC Tracking Number:	FT - 102

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			John Heinz NWR Transit Survey Instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 9,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,000	9,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	John Heinz NWR Transit Survey Fast Track Request Form.docx	04/25/2018

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