Information Collection

Pre-Test and Full Implementation

IC 236164 under ICR 202212-0648-003 · OMB 0648-0788.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0648-0788 Appendix C - Letters and postcards.pdf	Other-Correspondence
Appendix B - Experimental Design 8_20_2021.docx	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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-2,425	2,425
Annual IC Time Burden (Hours)	-801	801
Annual IC Cost Burden (Dollars)	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.