Download:
pdf |
pdfOMB Control No. 1006-0028
Expiration Date: xx/xx/2014
Recreation Development Survey
Paperwork Reduction Act
The purpose of this survey is to provide information to the Bureau of Reclamation for evaluating and
improving the recreation services and programs that it provides to the public. Response to this survey
is voluntary. No action may be taken against you for refusing to supply the information requested. The
reporting burden for this form is estimated to average 10 minutes, which includes the time for reviewing
instructions and completing and reviewing the form. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a currently valid Office
of Management and Budget (OMB) control number. Please direct comments regarding the burden
estimate or any other aspect of these forms to the Bureau of Reclamation, Policy and Administration,
Land Resources Division, 84-53000, P.O. Box 25007, Denver, CO 80225.
Privacy Act Statement
No Privacy Act Information is being collected; therefore, no direct link to the individual(s) filling out this
survey will be available. Information collected will be compiled to produce statistics.
U.S. Department of the Interior
Bureau of Reclamation
7-2549 (1-07)
Bureau of Reclamation
RECREATION DEVELOPMENT SURVEY
For agency use only
Lake/reservoir/recreation area being surveyed: __________________________________
Description of proposed development:
_______________________________________________________________________
_______________________________________________________________________
1.
If you would begin using this proposed development, would you likely decrease use of or
stop using another recreation area development you currently use? Check ( ) the most
appropriate answer.
_____ No, would not change usage of other recreation area developments.
_____ Yes, would decrease use of other recreation area developments.
_____ Yes, would stop using other recreation area developments.
2.
3.
In the following table, indicate to what extent you would be willing to pay for increased
services which would be provided at the proposed development. Please circle the
appropriate number that applies.
Very willing to
pay
Somewhat willing
to pay
1
2
Neutral
Somewhat
unwilling to pay
Very
unwilling
to pay
3
4
5
If you circled either number 4 or 5 in Q. 2 mentioned above, please choose the statement
below that best describes your reason for not willing to pay for increased services provided
at the proposed development. Check ( ) the most appropriate answer.
_____ I already pay enough fees for the use of this area.
_____ The proposed development is not needed for this recreation area.
_____ There are other areas that have the same type of development that I would visit
rather than pay for increased services.
_____ I object to paying for a new development.
_____ Not enough information was provided to make a decision.
1
7-2549 (1-07)
Bureau of Reclamation
Note: The background information being collected below is needed to provide a profile of our
study population to make sure it is representative of all the visitors to our recreation area. None
of the information in this or other sections will be associated with any names or addresses.
4.
Are you from in-state, out-of-state or another country? Please check ( ) only one
location.
_____In-State
_____Out-of-State
_____Another County
Note: The two questions below are designed to describe your ethnicity and race. Regardless of
your answer to Q. 5, go to Q. 6.
5.
Are you Hispanic or Latino (i.e., a person of Cuban, Mexican, Puerto Rican, South or
Central American, or other Spanish culture, regardless of race)?
_____ Yes
_____ No
6.
Please select one or more racial categories with which you most closely identify. Please
check ( ) all that apply.
_____ American Indian or Alaska Native
_____ Asian
_____ Black or African American
_____ Native Hawaiian or Other Pacific Islander
_____ White
— Thank you for your cooperation —
2
File Type | application/pdf |
Author | sleffel |
File Modified | 2011-06-22 |
File Created | 2011-06-22 |