1024-0224 NPS Programmatic Form

OMB Control Number: 1024-0224 Current Expiration Date:

National Park Service

U.S. Department of the Interior

Do not revise any part of this form

Programmatic Clearance Process

for NPS-Sponsored Public Surveys

The scope of the Programmatic Review and Clearance Process for NPS-Sponsored Public Surveys is limited and will only include individual surveys of park visitors, potential park visitors, and residents of communities near parks. Use of the programmatic review will be limited to non-controversial surveys of park visitors, potential park visitors, and/or residents of communities near parks that are not likely to include topics of significant interest in the review process. Additionally, this process is limited to non-controversial information collections that do not attract attention to significant, sensitive, or political issues. Examples of significant, sensitive, or political issues include: seeking opinions regarding political figures; obtaining citizen feedback related to high-visibility or high-impact issues like the reintroduction of wolves in Yellowstone National Park, the delisting of specific Endangered Species, or drilling in the Arctic National Wildlife Refuge.

							Submission Date:
Project Title:
Abstract (not to exceed 150 words)
Principal Investigator Contact Information
Name:
Title:
Affiliation:
Address:
Phone:
Email:
Park or Program Liaison Contact Information
Name:
Title:
Park:
Address:
Phone:
Email:
	Project Information
	Where will the collection take place? (Name of NPS Site)
	Sampling Period			Start Date:		End Date:
	Type of Information Collection Instrument (Check ALL that Apply)
	 Mail-Back Questionnaire				 Face-to-Face Interview			 Focus Groups
	 On-Site Questionnaire				 Telephone Survey
	 Other (list)
	Will an electronic device be used to collect information?  No  Yes - type of device
	Survey Justification:
	Social science research in support of park planning and management is mandated in the NPS Management Policies 2006 (Section 8.11.1, “Social Science Studies”). The NPS pursues a policy that facilitates social science studies in support of the NPS mission to protect resources and enhance the enjoyment of present and future generations (National Park Service Act of 1916, 38 Stat 535, 16 USC 1, et seq.). NPS policy mandates that social science research will be used to provide an understanding of park visitors, the non-visiting public, gateway communities and regions, and human interactions with park resources. Such studies are needed to provide a scientific basis for park planning and development.

Survey Methodology

Respondent Universe: Sampling Plan/Procedures: Instrument Administration: (d) Expected Response Rate/Confidence Levels:

Location

Number of Initial Contacts

Expected Response Rate

Expected Number of Responses

Margin of Error +/- %

Confidence Level

TOTAL

Strategies for dealing with potential non-response bias: Description of any pre-testing and peer review of the methods and/or instrument (recommended):

Burden Estimates

Estimated Total Number

Estimation of Time (minutes)

Estimation of Burden (hours)

Initial Contacts

Initial Contact

Initial Contact

On-site Refusal/ nonresponse

On-site Refusal/ nonresponse

On-site Refusal/ nonresponse

Responses

To complete response

To complete response

Total

Total

Reporting Plan