BLM Visitor Satisfaction Survey

DOI Programmatic Clearance for Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1040-0001 can be found here:

Documents and Forms

Document Name Document Type
CSS-1-SURVEY-2019 (1).doc Other-Satisfaction Survey
DI-4010 BLM Visitor Survey 2019-BLM-CS4 signed.pdf Justification for Submission IC Document
DI-4010 attachment.doc Additional Justification IC Document

Information Collection (IC) Details

IC Title:	BLM Visitor Satisfaction Survey	Agency IC Tracking Number:	2019-BLM-CS4

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-Satisfaction Survey			CSS-1-SURVEY-2019 (1).doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,500	3,500
Annual IC Time Burden (Hours)	467	467
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for Submission	DI-4010 BLM Visitor Survey 2019-BLM-CS4 signed.pdf	03/04/2019
Additional Justification	DI-4010 attachment.doc	03/04/2019

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