2022 Screener Survey: Web

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

Y

Make an impact on state and federal spending and earn $(x) by completing a 10-minute survey.
We are conducting an important, nonpartisan study to evaluate state and federal programs that support wildlife-related
recreation and manage wildlife populations. You are invited to take part in a survey to share your household's
participation in various outdoor activities in an effort to conserve, protect, and enhance fish and wildlife for the benefit of
the American people.
You have been randomly selected to represent thousands of households like yours. It doesn't matter whether you never
participate in these activites or participate in them every day -- we want to hear from you!
NORC is 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.
To participate, please visit us at xxxxx.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. Want more information? Visit us online at xxx.norc.org.
On behalf of all of us at NORC, we thank you for taking the time to consider this request and hope you'll participate today!
Sincerely yours,

Kate Bachtell, Project Director
National Survey of Fishing, Hunting, & Wildlife-Associated Recreation
NORC at the University of Chicago
[email protected]

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

You’ve been randomly selected to participate
in an outdoor recreation and wildlife study for
NORC at the University of Chicago, a
nonpartisan research institution.

Participation is easy and your responses are
anonymous. The survey is only open for a
limited time, so please respond quickly.
Follow these three steps to earn $(x):

1

2

Visit xxxxx.norc.org
or call xxx-xxx-xxxx.

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

3

Get $(x) and help us
understand how state and
federal funds should be spent.

55 East Monroe Street, 19th Floor | Chicago IL 60603

Make an impact and earn $(x)
HABLAMOS ESPAÑOL

Scratch off to
show PIN

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 to this address.