Pilot Test of Web-based Application for the National Park Service U.S. Civil Rights Network USCRN)

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⚠️ Notice: This information collection may be referencing outdated material.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
NPS FT-54 USCRN e-Form 10272018 (1).docx Other-Pilot Test of Web Based Form
NPS FT-54 DI-4011 US Civil Rights Network Application_jdb electronic signature.pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Pilot Test of Web-based Application for the National Park Service U.S. Civil Rights Network USCRN)	Agency IC Tracking Number:	2018-NPS-FT55

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-Pilot Test of Web Based Form			NPS FT-54 USCRN e-Form 10272018 (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	175	175
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	NPS FT-54 DI-4011 US Civil Rights Network Application_jdb electronic signature.pdf	11/01/2018

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