2022 Screener Survey: Phone

2022 National Survey of
Fishing, Hunting, & Wildlife-Associated Recreation

OMB Control No. 1018-0088
Expires ##/##/####

Make an impact on state and federal wildlife policy and earn $[] by completing this 10-minute survey.
We are conducting a nonpartisan, scientific study to understand nation-wide participation in outdoor recreational activities.
Results from this study will be used to inform how state and federal dollars should be spent in communities like yours.
Your household has been randomly selected to participate in this study. We hope to hear from all kinds of people -- those who
participate in these activies daily, those who never participate, and everyone in-between!
This study is being conducted by NORC at the University of Chicago, an independent, nonprofit research institution that has been
delivering reliable data and analysis for nearly 80 years. We are not selling anything, and we are not affiliated with any political
party. The survey is easy to do and all of your responses are anonymous.
To participate, please visit us at xxxx.norc.org and enter your PIN (see other side), or call us toll-free at XXX-XXX-XXXX.
You will receive $[X] for completing this 10-minute survey. It is only open for a limited time, so please respond quickly.
On behalf of all of us NORC, AFWA, and the USFWS, we thank you for taking the time to fill out this survey.
Sincerely yours,

Kate Bachtell,Project Director
NORC at the University of Chicago
[email protected]
www.xxx.norc.org
123-456-7891

You’ve been randomly selected to
participate in a nonpartisan study
conducted by NORC at the University
Of Chicago.
Participation is easy and your responses are
anonymous. The survey is only open for a limited
time, so please respond quickly.
Follow these three easy steps:

1

Visit www.xxx.norc.org
or call XXX-XXX-XXXX.

2

Complete this 10-minute survey
using your unique PIN.
Scratch off for PIN.

3

Get $[x] and help us understand the
impacts of outdoor recreational activities
across the U.S. and in your community.

OMB Control No. 1018-0088
Expires ##/##/####
55 East Monroe Street, 19th Floor | Chicago IL 60603

Make an impact and earn $[X]
HABLAMOS ESPAÑOL

Scratch off to
show PIN

XXXXXXX

JOHN DOE
10 ELM ST
ANYTOWN, IL 98765-4321

OMB Control No.
1018-0088 Expires ##/##/
####

NOTICES
PRIVACY ACT STATEMENT
Authority: 16 U.S.C. 669 et seq., as amended; 16 U.S.C. 777 et seq., as amended; 16 U.S.C. 742d-f; Public Law 106-408.
Purpose: This information will be used by the U.S. Fish and Wildlife Service (FWS) to effectively administer fish and wildlife restoration grant
programs and by States to develop project proposals and conservation programs.
Routine Uses: The information collected may be shared in accordance with the Privacy Act of 1974 and the routine uses listed in the
Department of Interior System of Records Notices INTERIOR/ FWS-27, Correspondence Control System - 73 FR 31877 (June 4, 2008).
Disclosure: Furnishing this information is voluntary; if not collected, FWS would likely experience difficulty in effectively carrying out its
mission.
PAPERWORK REDUCTION ACT STATEMENT
In accordance with the Paperwork Reduction Act (44 U.S.C. 3501, et seq.), the U.S. Fish and Wildlife Service collects information necessary to
effectively administer fish and wildlife restoration grant programs and helps states develop project proposals and conservation programs, and
to respond to requests made under the Freedom of Information Act and the Privacy Act of 1974. Information requested in this collection is
purely voluntary. According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor and a person is not required to
respond to a collection of information unless it displays a currently valid OMB control number. OMB has approved this collection of information
and assigned Control No. 1018-0088.
ESTIMATED BURDEN STATEMENT
We estimate public reporting for this collection of information to vary from 9 minutes to 22 minutes, depending on activity, including time for
reviewing instructions, gathering and maintaining data and completing and reviewing the form. Direct comments regarding the burden estimate
or any other aspect of the form to the Service Information Clearance Officer, Fish and Wildlife Service, U.S. Department of the Interior, 5275
Leesburg Pike, MS: PRB (JAO/3W), Falls Church, VA 22041-3803, or via email at [email protected]. Please do not send your completed form