Pre- and Post-Assessment of Youth's Experiences in SoCal Urban Wildlife Refuge Project Programs

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⚠️ Notice: This information collection may be referencing outdated material.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
FWS Urban Instrument v2.pdf Other-Customer Experience Survey
SoCal Urgan Wildlife Refuge Project Generic Clearance Form 07132017.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Pre- and Post-Assessment of Youth's Experiences in SoCal Urban Wildlife Refuge Project Programs	Agency IC Tracking Number:	FT - 66

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-Customer Experience Survey			FWS Urban Instrument v2.pdf		No		Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	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	700	700
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	SoCal Urgan Wildlife Refuge Project Generic Clearance Form 07132017.docx	07/19/2017

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