NHDPlus High Resolution QC Interest Form

DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Document Name Document Type
NHDPlus HR QC Instrument 2017-05-15.docx Other-Quality of Service Survey
NHDPlus HR QC PRA Request 2017-05-15.doc Request for Approval IC Document

Information Collection (IC) Details

IC Title:	NHDPlus High Resolution QC Interest Form	Agency IC Tracking Number:	FT - 59

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-Quality of Service Survey			NHDPlus HR QC Instrument 2017-05-15.docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 62	Number of Respondents for Small Entity: 8

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	NHDPlus HR QC PRA Request 2017-05-15.doc	05/16/2017

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