Information Collection

Evaluating a questionnaire for future delivery on public values for sagebrush in the West

IC 235455 under ICR 201805-1090-001 · OMB 1090-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Focus Group Questions & Script-sagebrush management 03-05-2019.docx	Other-Focus Group Questions & Script
Questinnaire booklet - sagebrush management 03-05-2019.docx	Other-Questionnaire Booklet
DI-4011 Fast Track Sagebrush 2019-03-20.pdf Request for Approval	IC Document

IC Title:

Evaluating a questionnaire for future delivery on public values for sagebrush in the West

Agency IC Tracking Number:

2019-USGS-FT67

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus Group Questions & Script			Focus Group Questions & Script-sagebrush management 03-05-2019.docx		No		Paper Only
Other-Questionnaire Booklet			Questinnaire booklet - sagebrush management 03-05-2019.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: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	DI-4011 Fast Track Sagebrush 2019-03-20.pdf	03/22/2019

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