Household questionnaire

Socio-Economic Survey: Manell-Geus (Guam)

Documents and Forms

Document Name Document Type
Household questionnaire Form
Manell-Geus Household Survey Questionnaire Manell-Geus Household Survey Questionnaire Final_Sep_22_2015.docx Form
Manell-Geuss Household survey Manell-Geus Household Survey Questionnaire Final_clean.docx Form

Information Collection (IC) Details

IC Title:	Household questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		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
Form	NA	Manell-Geus Household Survey Questionnaire	Manell-Geus Household Survey Questionnaire Final_Sep_22_2015.docx		Yes	No	Paper Only
Form	NA	Manell-Geuss Household survey	Manell-Geus Household Survey Questionnaire Final_clean.docx		Yes	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: 350	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	117	117
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.