Neal Smith National Wildlife Refuge - Visitor Center 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⚠️ Notice: This information collection may be referencing outdated material.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
FWS FT-101 Neal Smith NWR Public Visitor Center Feedback Survey 10182018.pdf Other-Customer Satisfaction Survey
FWS FT-101 DI-4011 Neal Smith NWR Public Visitor Center Feedback Form.pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Neal Smith National Wildlife Refuge - Visitor Center Feedback Form	Agency IC Tracking Number:	2018-FWS-FT7

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-Customer Satisfaction Survey			FWS FT-101 Neal Smith NWR Public Visitor Center Feedback Survey 10182018.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,190	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,190	5,190
Annual IC Time Burden (Hours)	433	433
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	FWS FT-101 DI-4011 Neal Smith NWR Public Visitor Center Feedback Form.pdf	10/22/2018

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