Midwest Conservation Blueprint Feedback Survey

Improving Customer Experience (OMB Circular A-11, Section 280 Implementation)

Documents and Forms

Document Name Document Type
Midwest Conservation Blueprint Feedback Survey_DI-4014 HISP Request_2023-09-13.docx Other-Survey Tool
ICR A11 Section 280 Clearance for DOI 8 16 23_Midwest Blueprint Feedback Survey (1).docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Midwest Conservation Blueprint Feedback Survey	Agency IC Tracking Number:	2024=FWS-CX3

IC Status: Unchanged

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 Tool			Midwest Conservation Blueprint Feedback Survey_DI-4014 HISP Request_2023-09-13.docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	ICR A11 Section 280 Clearance for DOI 8 16 23_Midwest Blueprint Feedback Survey (1).docx	03/05/2024

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