South Atlantic survey of NOAA services

OMB No: 0648-0052 Approval Expires 11/30/2013

South Atlantic Survey of
NOAA Services

Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other suggestions for reducing this burden to Rob Andrews, NOAA
Fisheries Service, 1315 East-West Hwy., Silver Spring, MD 20910.
This is a voluntary survey, and responses are kept confidential as required by section 402(b) of the Magnuson- Stevens Act and NOAA
Administrative Order 216-100, Confidentiality of Fisheries Statistics, and will not be released for public use except in aggregate statistical
form without identification as to its source. Notwithstanding any other provisions of the law, no person is required to respond to, nor shall
any person be subjected to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork
Reduction Act, unless that collection of information displays a currently valid OMB Control Number.

South Atlantic Survey of NOAA Services

The National Oceanic and Atmospheric Administration is the Federal agency that provides citizens,
planners, emergency managers and other decision makers with information concerning weather
forecasts, severe storm warnings, fisheries management, coastal restoration and marine commerce.
As part of its work, NOAA periodically surveys members of the public about the information and
services NOAA provides.
This survey should be filled out by an adult household member living at this address.
Please use blue or black pen to complete this form.
1. During the past 12 months, which of these sources of information have members of this household
used to obtain information about the weather, including current weather conditions, forecasts and
warnings?
[Please check all that apply]

□ Television
□ Radio
□ Newspaper
□ Internet
□ Other, please specify: ______________________________________
2. During the past 12 months has anyone in this household had to evacuate or seek shelter due to a
severe weather event such as a tornado, hurricane, or thunderstorm?

□ Yes
□ No
3. During the past 12 months, has anyone in this household visited a public beach, national seashore,
coastal state park, or other coastal nature reserve or protected area?

□ Yes
□ No
4. NOAA is interested in learning about the recreational activities in which adult members of your
household participate. For the purposes of this survey, adults are those household members, ages 18
and older.
How many adults, ages 18 and older live in this household?

□□

South Atlantic Survey of NOAA Services

5. For these next few questions, please provide information for the adults in your household. If there are
more than three adults living in your household, please provide information for the oldest three adults.
Adult #1

Adult #2

Adult #3

a. What is this person’s first name or initials?
Male
Female
18-24
25-34
35-44
45-54
55-64
65+

Male
Female
18-24
25-34
35-44
45-54
55-64
65+

Male
Female
18-24
25-34
35-44
45-54
55-64
65+

….Scuba diving or snorkeling?

Yes
No
Yes
No
Yes
No
Yes
No

Yes
No
Yes
No
Yes
No
Yes
No

Yes
No
Yes
No
Yes
No
Yes
No

….Whale or dolphin watching?

Yes
No

Yes
No

Yes
No

b. Is this person male or female?
c. How old is this person?

c. During the last 12 months, has this person
participated in:
….Recreational freshwater fishing?
….Recreational saltwater fishing?
….Recreational boating or sailing?

6. NOAA periodically conducts detailed surveys to fulfill its mission related to preserving and protecting

the nation’s marine resources. What is the best telephone number that NOAA could use to contact you
or other members of your household?

□□□ □□□-□□□□
(Area Code)

(Telephone Number)

7. Is the telephone number you listed in Question 5 a landline phone or a cellular phone number?

□ Landline Phone Number
□ Cellular Phone Number

South Atlantic Survey of NOAA Services

Thank you! Please return this form in the postage paid envelope provided or mail to:
South Atlantic Survey of NOAA Services
116 John Street, Suite 800
New York, NY 10038

Commonly Asked Questions

Q:
A:

How did you get my address?
Your address was randomly selected from among all addresses within your state.
It was selected using scientific sampling methods to represent other households
in your part of the state.

Q:
A:

Why can’t you interview another household instead of mine?
In order to make sure final results of the study are accurate, receiving information
about your household is important to us. Households selected for this study
were chosen using scientific sampling methods and your responses cannot be
replaced by others.

Q:
A:

How will the information I provide be used?
Information from this study will be used to improve NOAA services. All
information will be kept confidential; It will be combined with information from
other households to produce statistical summaries and reports.

Q:
A:

How much time will this survey take?
On average, it should take less than ten minutes for you to respond, including the
time for reviewing instructions, and completing and reviewing the collection of
information.

Q:
A:

Who is sponsoring the survey?
This study is sponsored by the National Oceanic and Atmospheric
Administration. Questions regarding the study can be directed to Rob Andrews
at National Oceanic and Atmospheric Administration by calling 301-713-2328.