Information Collection

BLM Visitor Satisfaction Survey

IC 235164 under ICR 201807-1040-001 · OMB 1040-0001.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.