Download:
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pdfVisit our website at www.CorpsLakes.us
Are you interested in learning more about recreation
opportunities on Corps of Engineers lakes?
Your thoughtful feedback today will help
make future visits here more enjoyable and
worthwhile for everyone.
Thank You!
AGENCY DISCLOSURE STATEMENT
OMB Control #:0710-xxxx, Exp: xx/xx/xxxx
The public reporting burden for this collection of information is estimated to average 5 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services
Directorate, Information Management Division, 4800 Mark Center Drive, East Tower, Suite 02G09,
Alexandria, VA 22350-3100 (XXXX-XXXX). Respondents should be aware that notwithstanding any other
provision of law, no person shall be subject to any penalty for failing to comply with a collection of
information if it does not display a currently valid OMB control number.
PLEASE DO NOT RESPOND TO THE ABOVE ADDRESS
Responses should be directed to Natural Resources Support Program, USACE-IWR-Casey Building, 7701
Telegraph Road, Alexandria VA, 22315
Visitor Comment Card
OMB Control #: xxxx-xxxx Exp: mm-dd-yyyy
We would like to know about your visit. Your response is voluntary and
not required. This information will be used to improve the quality of
information, facilities, and services at this recreation area.
Scheduled Survey:
Day-Use
Other Protocols:
Solicited
Camping
All Visitors
Project:
Previous visits to this recreation area:
1. Is this your first visit to this recreation area?
(Choose one)
Yes
No
2. If no, how many other times have you visited this area in
the last 12 months? _________ (Enter number)
How did you hear about this recreation area?
(check all that apply)
Other
Today's Date: ____/____/_______
(MM DD YYYY) .
Please help us serve you better on future visits to:
Recreation Area:
Self-Service
Family/Friend
Map/brochure
www.corpslakes.us
www.reserveamerica.com
www.recreation.gov
Other website ________________ Highway/Road Signs
info/staff at local business
Info/staff at local motel
Newspaper/magazine article School class/program
Welcome center/chamber of commerce
Use of park facilities at this area:
Did you do any of the following at this recreation area during your
current visit? (Check all that apply)
Stay overnight in campground
Use swimming beach
Use picnic facilities
Launch a boat
About yourself:
1. Home postal or ZIP code: ___________________ (write in)
(Choose one for each item below)
2. You live in: U. S. Canada Mexico Other
3. Age: Under 25
25-44
4. Gender: Female
45-61
1. Did you use a Senior Pass, Access Pass or Annual Day-Use
Pass to offset the fees charged at this area?
Yes No Does Not Apply
(Choose one)
2. Did you pay a fee to enter or use this area during your
current visit? (Choose one)
Yes No Not Sure
62+
Male
5. Are you Hispanic or Latino? Yes
Visitor fees:
Use restrooms or showers
Use a recreational trail
Use boat or facilities at a marina
Other______________________
No
6. What is your Race? (Mark one or more)
American Indian or Alaska Native
Black or African American
Native Hawaiian or other Pacific Islander
Asian
White
For your current visit, please rate each of the following: (Check one box for each item)
Item
Facilities:
Suitability of park facilities for my recreational equipment and activities
Restroom cleanliness and availability of conveniences
Appearance of park grounds
Adequacy of signs providing directions and information
Parking space availability during this visit
Condition of roads and parking areas in the park
Employees:
Availability of park rangers and staff
Helpfulness of park rangers and staff
Environmental Setting:
Attractiveness of surrounding scenery and landscape
Quality of land and water resources for my activities
Overall:
Waiting times needed to access park facilities and services
Feeling of safety and security in the park
Value received for any visitor fees paid
Overall satisfaction with your visit to this area
Very
Good
Good
Not Good
Not Poor
Poor
Very
Poor
Does Not
Apply
What improvements would you like to see in this area? (Describe. Do not provide personally identifiable information (PII)
What did you like most about this area? (Describe. Do not provide personally identifiable information (PII)
File Type | application/pdf |
File Title | OMB Approval 0710-001, Exp xxxxxxx |
Author | Christine Wibowo |
File Modified | 2016-10-06 |
File Created | 2016-10-06 |