General Land Office Website User Feedback Survey

DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
GLO User Feedback Survey (Survey123)_Final.docx glorecords.blm.gov Other-Survey Instrument
GLO Survey draft Q&A_Final.docx GLO Survey draft Q&A_Final IC Document
Survey intro message email_web_Final.docx Survey intro message email_web_Final IC Document
BLM DI-4011 GLO Website Survey 08272021.pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	General Land Office Website User Feedback Survey	Agency IC Tracking Number:	2021-FT3-BLM

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-Survey Instrument			GLO User Feedback Survey (Survey123)_Final.docx	glorecords.blm.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GLO Survey draft Q&A_Final	GLO Survey draft Q&A_Final.docx	08/27/2021
Survey intro message email_web_Final	Survey intro message email_web_Final.docx	08/27/2021
Request for Approval	BLM DI-4011 GLO Website Survey 08272021.pdf	08/30/2021

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