Information Collection

Survey instrument

IC 195518 under ICR 201604-0648-016 · OMB 0648-0626.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey instrument	Form and Instruction
0626 correspondence, screening and follow-up.docx	Other-contact letters and postcards
Alaska Community Survey Alaska Community Survey.docx	Form and Instruction
Alaska Community Survey (2016 revised) Alaska Community Survey 2016 revised.docx	Form

IC Title:

Survey instrument

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	NA	Alaska Community Survey	Alaska Community Survey.docx	No	Paper Only
Other-contact letters and postcards			0626 correspondence, screening and follow-up.docx	No	Paper Only
Form	NA	Alaska Community Survey (2016 revised)	Alaska Community Survey 2016 revised.docx	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: 225

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	225	0	225
Annual IC Time Burden (Hours)	244	19	225
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.