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pdfOMB Control No. 1006-0028
Expiration Date: XX/XX/2017
Recreation Fee Survey
Paperwork Reduction Act
The purpose of this survey is to provide information to the Bureau of Reclamation for evaluating and
improving the recreation services and programs that it provides to the public. Response to this survey is
voluntary. No action may be taken against you for refusing to supply the information requested. The
reporting burden for this form is estimated to average 10 minutes, which includes the time for reviewing
instructions and completing and reviewing the form. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a currently valid
Office of Management and Budget (OMB) control number. Please direct comments regarding the
burden estimate or any other aspect of these forms to the Bureau of Reclamation, Policy and
Administration, Asset Management Division, 84-57000, P.O. Box 25007, Denver, CO 80225.
Privacy Act Statement
No Privacy Act Information is being collected; therefore, no direct link to the individual(s) filling out
this survey will be available. Information collected will be compiled to produce statistics.
U.S. Department of the Interior
Bureau of Reclamation
7-2548 (1-07)
Bureau of Reclamation
RECREATION FEE SURVEY
NOTE: Some of the questions in this survey deal with the amount of fees collected at the
recreation area. You can be assured that fees will not be raised based on the answers you
provide.
For agency use only
Recreation area being surveyed: ______________________________________________
1.
2.
What activity or activities are you participating in at the recreation area today?
Check ( ) all of the activities you are participating in on your current visit.
___
Tent camping
___
Swimming
___
RV / trailer camping
___
Hiking
___
Day use / picnicking
___
Kayaking
___
Pleasure boating
___
Canoeing
___
Bicycling
___
Horseback riding
___
Interpretive Program
___
Hunting
___
Boat fishing
___
Sightseeing
___
Water skiing / tubing
___
Wakeboarding
___
Sailing
___
Other (specify):
____________________
___
Fishing from shore
___
Other (specify):
____________________
___
Wildlife viewing
On average, how many times during a typical year do you visit this recreation area? A visit
can be defined as a one time visit to the recreation area no matter how much time was spent
at any one time. For example, a one hour visit would be considered the same as a three day
visit. Enter the average number of visits per year or check ( ) the space on the
appropriate line if it is your first visit to the recreation area.
_____ number (average) of visits per year
3.
_____ first visit
Overall, was the fee(s) you paid today: (Please check [ ] the one that applies.)
_____ Too high _____ Too low _____ Appropriate
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7-2548 (1-07)
Bureau of Reclamation
4.
Overall, are you satisfied with the value you received for the fee(s) paid? Please
check ( ) the one that applies.
_____ Extremely satisfied
_____ Satisfied
_____ Neither satisfied nor dissatisfied
_____ Dissatisfied
_____ Extremely dissatisfied
If you checked dissatisfied or extremely dissatisfied, why?
5.
If you used one of the America the Beautiful Passes, The National Parks or Federal
Recreational Lands Passes, what specific type of pass was it? (Please check [ ] the one
that applies.)
____ Annual
____ Senior
____ Access
____ Volunteer
____ Site-specific Agency Pass
____ Regional Multi-Entity Pass
____ Other (list) ________________________
Note: The background information being collected below is needed to provide a profile of our
study population to make sure it is representative of all the visitors to our recreation area. None
of the information in this or other sections will be associated with any names or addresses.
6.
Are you from in-state, out-of-state or another country? Please check ( ) only one
location.
_____In-State
_____Out-of-State
_____Another County
Note: The two questions below are designed to describe your ethnicity and race. Regardless of
your answer to Q. 7, go to Q. 8.
7.
Are you Hispanic or Latino (i.e., a person of Cuban, Mexican, Puerto Rican, South or
Central American, or other Spanish culture, regardless of race)?
_____ Yes
_____ No
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7-2548 (1-07)
Bureau of Reclamation
8.
Please select one or more racial categories with which you most closely identify. Please
check ( ) all that apply.
_____ American Indian or Alaska Native
_____ Asian
_____ Black or African American
_____ Native Hawaiian or Other Pacific Islander
_____ White
— Thank you for your cooperation —
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File Type | application/pdf |
File Title | Microsoft Word - RecreationFee.doc |
Author | jnagode |
File Modified | 2014-12-11 |
File Created | 2014-12-11 |