TIMU Baseline Survey

National Park Services Evaluation of Pilot Interventions to Increase Healthful Physical Activity in Parks

Documents and Forms

Document Name Document Type
AttachM_TIMU_BaselineSurvey.doc Other-survey
M.1_TIMU_IRB_ParentalConsent.doc TIMU Parental Consent & IRB IC Document

Information Collection (IC) Details

IC Title:	TIMU Baseline 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			AttachM_TIMU_BaselineSurvey.doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
TIMU Parental Consent & IRB	M.1_TIMU_IRB_ParentalConsent.doc	05/22/2007

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