National Wildlife Refuge System Customer Survey

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

Documents and Forms

Document Name Document Type
NWRS Survey w-PRA 01072026.docx Other-Survey Tool
NWRS Survey Email w-PRA 01072026.docx Other-Survey Email
USFWS DI-4011 Request Form - NWRS Survey Signed 01072026.pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	National Wildlife Refuge System Customer Survey	Agency IC Tracking Number:	2026-FWS-FT1

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-Survey Tool			NWRS Survey w-PRA 01072026.docx		Yes	Yes	Fillable Fileable
Other-Survey Email			NWRS Survey Email w-PRA 01072026.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: 107	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	107	107
Annual IC Time Burden (Hours)	27	27
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	USFWS DI-4011 Request Form - NWRS Survey Signed 01072026.pdf	01/09/2026

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