Information Collection

Pre-Test and Full Implementation

IC 236164 under ICR 202105-0648-011 · OMB 0648-0788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Pre-Test and Full Implementation	Form and Instruction
0648-0788 Appendix C - Letters and postcards.pdf	Other-Correspondence
0648-0788 Appendix C - Letters and postcards.pdf	Other-Correspondence
0648-0788 Appendix B - Experimental Design.docx	Other-Experimental Design
Appendix B - Experimental Design 8_20_2021.docx	Instruction
Survey Instrument 0648-0788 Appendix A - Survey Instrument.docx	Form and Instruction
Appendix A - Survey Instrument 0648-0788 Appendix A - Survey Instrument 8_20_2021.docx	Form and Instruction
0648-0788 Appendix E - Redline Survey Instrument.docx Appendix E - Redline Survey Version	IC Document
0648-0788 Appendix E - Redline Survey Instrument.docx Appendix E - Redline Survey Version	IC Document

IC Title:

Pre-Test and Full Implementation

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Correspondence			0648-0788 Appendix C - Letters and postcards.pdf	No		Paper Only
Form and Instruction	N/A	Appendix A - Survey Instrument	0648-0788 Appendix A - Survey Instrument 8_20_2021.docx	Yes	Yes	Fillable Fileable
Instruction			Appendix B - Experimental Design 8_20_2021.docx	Yes	Yes	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,425

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,425	-419	2,844
Annual IC Time Burden (Hours)	801	-147	948
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix E - Redline Survey Version	0648-0788 Appendix E - Redline Survey Instrument.docx	05/28/2021

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