OMB CONTROL NUMBER: 1090-0011 EXPIRATION DATE: 08/31/2018

PAPERWORK REDUCTION ACT STATEMENT: The National Park Service is authorized by 54 USC 100702 to collect this information. This information will be used to understand respondents opinions on the work of the Office of Public Health. Responses to this request are voluntary and anonymous. Your name will not be associated with your answers. No action may be taken against you for refusing to supply the information requested. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number and expiration date. 

BURDEN ESTIMATE STATEMENT: Public reporting burden for this collection is estimated to be 3 minutes per response. Direct comments regarding the burden estimate or any other aspect of this collection to: CAPT Sara Newman 1201 I Street, NW Washington, DC 20005. sara_newman@nps.gov

The National Park Service (NPS) Office of Public Health (OPH) continually strives to increase the value of our services to the NPS and partners. As a customer of this service your input is very important. Please take a few minutes of your time to answer the following survey questions.

Question Title

* 1. Was your encounter with the NPS OPH related to: ___________.

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