Quagga Exit Survey (Recreational and Commercial Users)

OMB Control Number: 1024-XXXX

Expiration Date XX/XX/XXXX

National Park Service Watercraft Inspection for

Trailered Recreational Boats Vehicles Exiting

[NAME OF PARK HERE]

1. Has the boat been out of the state in the last 30 days?

 No

 Yes

If yes, please specify where

2. Has the boat been in any other waters in the last 30 days?

 No

 Yes

If yes, please specify which waters

3. What is the final destination for the boat?

4. Where will the boat be launched next?

5. What compartment or containers on the boat, including ballast tanks, hold water? If the boat includes compartments that hold water, initiate inspection.

6. Does the boater have any live aquatic bait? If yes, determine what species and initiate inspection.

Paperwork Reduction and Privacy Act Statements: The Paperwork Reduction Act requires us to tell you why we are collecting this information, how we will use it, and whether or not you have to respond. The National Park Service is authorized by the NPS Research Mandate (54 USC 100702) to collect this information. We will use this information to reduce the risk of introduction and spread for quagga / zebra mussels and other aquatic invasive species and for increasing the efficiency and effectiveness of watercraft inspection / decontamination in the western U.S. Your responses are voluntary and anonymous. Your name and address have been requested for follow-up purposes only. At the completion of this collection all contact information will be destroyed and in no way be connected with the results of this survey. A Federal agency may not conduct or sponsor and you are not required to respond to, a collection of information unless it displays a currently valid OMB Control Number.

Burden Estimate: We estimate that it will take from 1-3 minutes to answer these questions. You may send comments concerning the burden estimates or any aspect of this information collection to the Social Science Program Chief, National Park Service, 1201 Oakridge Drive, Fort Collins, CO, 80525-5596; [email protected] (email).