View Information Collection (IC)

View Information Collection (IC)

IC Title:	Green Point Area Community Needs Assessment - Saginaw Community Member Questionnaire	Agency IC Tracking Number:

IC Status: Unchanged

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-Assessment Survey			Shiawassee NWR Survey Instrument CVTS updated 08062018.docx		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,500	0	0	0	0	1,500
Annual IC Time Burden (Hours)	171	0	0	0	0	171
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	CVTS_JustificationForm_ShiawasseeNWR.pdf	08/01/2018
Assessment Cover Letter	Shiawassee NWR Green Point Area Needs Assessment Cover Letter_CVTS.docx	08/01/2018
Compendium of Questions	ShiawasseeNWR_CommunitySurvey_TableComparisontoCompendiumQuestions.docx	08/01/2018

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