Information Collection

Questionnaire 123

IC 259466 under ICR 202603-1028-004 · OMB 1028-0138.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1028-NE@ Turtle distribution database questionnaire.docx survey123.arcgis.com	Other-App

IC Title:

Questionnaire 123

Agency IC Tracking Number:

Margaret Lamont

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-App				https://survey123.arcgis.com	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title: SORN 16 DOI Learn

FR Citation: 88 FR 10536

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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