Information Collection

Tracking Sheet and Household Consent

IC 45783 under ICR 202310-1018-001 · OMB 1018-0124.

Documents and Forms

Document Name Document Type
5-regions survey, HH Invitation, PRA statement.pdf Other-Invitation and PRA Statement
5-regions survey, HH Invitation, PRA statement.pdf Other-Invitation and PRA Statement
3-2380 Tracking Sheet & Household Consent Form FWS Form 3-2380, Tracking Sheet & HH Consent.pdf www.fws.gov/forms/ Form
3-2380 Tracking Sheet & Household Consent Form FWS Form 3-2380, Tracking Sheet & HH Consent.pdf www.fws.gov/forms/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tracking Sheet and Household Consent	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-Invitation and PRA Statement			5-regions survey, HH Invitation, PRA statement.pdf		No		Paper Only
Form	3-2380	Tracking Sheet & Household Consent Form	FWS Form 3-2380, Tracking Sheet & HH Consent.pdf	https://www.fws.gov/forms/	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: 1,121	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,121	1,121
Annual IC Time Burden (Hours)	93	93
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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