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CHOH Post-Intervention Survey
National Park Services Evaluation of Pilot Interventions to Increase Healthful Physical Activity in Parks
OMB: 1024-0253
IC ID: 179460
OMB.report
DOI/NPS
OMB 1024-0253
ICR 200703-1024-001
IC 179460
( )
Documents and Forms
Document Name
Document Type
AttachI_CHOH_SurveyPost.pdf
Other-Survey
CHOH_Letters.doc
CHOH Cover Letter & Mailings
IC Document
Survey_Log.doc
Survey Log
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CHOH Post-Intervention Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
AttachI_CHOH_SurveyPost.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Recreational Resource Management and Tourism
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
400
0
400
0
0
0
Annual IC Time Burden (Hours)
133
0
133
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CHOH Cover Letter & Mailings
CHOH_Letters.doc
04/04/2007
Survey Log
Survey_Log.doc
04/04/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.