OMB Control No. 0690-0030
Expiration Date: 04/30/2014
(This
is a form that will be used at ~ six different project pages on the
Biogeography branch website)
Order Form for NOAA Biogeography Branch Product
I am requesting the following NOAA Biogeography Products:
_____________________________________________________________
Name of Product
[This may automatically load the product name if they order something online.]
Products are available at no cost. Once order requests are received, products will be packaged and distributed in 1-2 weeks if they are still available. If not, we will let you know, but most of our products are available digitally online. Thank you for your interest in Biogeography Branch products.
Order Form
Submission Detail
Address Information
Name or Job Title
Email Address Useful if we have problems responding to your request
Your Organization
Street Address * (Required if we are mailing a hard copy)
City, State, Zip Code * (Required if we are mailing a hard copy)
Type of Organization
Please choose an option which best describes your organization?
Options: Federal Government Agency
State/Local Government
Agency
Academic Institution
Non-Governmental
Institution
Other
Purpose of Use/Activity for Product
Which of the following best describes the type of activity or purpose for which you will be using the product? (You may choose more than one)
Commerce |
Management |
Monitoring |
Public Education and Outreach |
|
Research |
Other |
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 Tracy Gill, 301-713-3028 x 150, or Tracy.Gill@noaa.gov.
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.
File Type | application/msword |
Author | Tracy Ann Gill |
Last Modified By | gbanks |
File Modified | 2011-10-20 |
File Created | 2011-10-19 |