Sample PRA Compliance Statement for Telephone Surveys

SAMPLE: The Paperwork Reduction Act requires approval of all federal government surveys by the Office of Management and Budget. This survey has been approved under this Act. The Office of Management and Budget control number and expiration date is available at your request.  Additional information about this survey and its approval is available at your request.*  The questions I would like to ask will only take about XX minutes to complete. All of your answers are voluntary.

*Additional Information Provided upon Request.

OMB Approval number:			(Not yet assigned)
Expiration Date:  				(Not yet assigned)
Person Collecting and Analyzing Information:	PI Name, Address, & Phone

16 U.S.C. 1a-7 authorizes collection of this information.  This information will be used by park managers to better serve the public.  Response to this request is voluntary.  No action may be taken against you for refusing to supply the information requested.  The permanent data will not have your telephone number recorded.  

You may direct comments on the number of minutes required to respond, or on any other aspect of this survey to:

Park Contact Name, Address, & E-mail Address