Exhibit 1, 119 FW 1
Sample Decision Memorandums for Surveys

February 3, 2012

Series: Information and Expression

Part 119: Surveys

Originating Office: Division of Policy and Directives Management

 

 

PDF Version

MS Word Version


 

Sample Decision Memorandum for the Director’s Approval

 

Memorandum

 

To:                  Director

 

Through:         Assistant Director – Budget, Planning and Human Capital

 

From:              Chief, Division of Policy and Directives Management

 

Subject:           Request for employees to use official time and Government equipment to complete a survey about National Wildlife Refuge System public use fees

 

Purpose: The purpose of this memorandum is to ask for your approval for employees to use official Government time to complete a survey related to charging visitor fees on refuges. I recommend that you approve this request.

 

Background: John Stanley, a full-time biological science technician we employ in Region 1, has prepared the survey as part of his graduate work. The survey asks for responses to positive and negative statements about the Refuge System charging fees for various public use opportunities on refuges across the country (see attached).

 

The survey is designed to be taken over the Internet, and it should take no more than 15 minutes to complete. We will announce the survey using an all-employee email. Although we will encourage employees to respond, it is not mandatory.

 

I anticipate that the results of the survey will not only help Mr. Stanley fulfill his educational goals, but that those results will also benefit the Refuge System by providing information we can analyze as we consider improvements and changes that benefit refuges across the country.

 

Your signature below will indicate your approval. Please contact me at (703) 358-2676 if you have questions or need additional information.

 

Approval: ________________________________________  Date: __________________

 

Attachment


 

 

 

Sample Decision Memorandum for the Assistant Director – Budget, Planning and Human Capital’s Approval

 

Memorandum

 

To:                  Assistant Director – Budget, Planning and Human Capital

 

From:              Chief, Division of Policy and Directives Management

 

Subject:           Request for employees to use official time and Government equipment to complete a Bureau of Land Management (BLM) survey

 

Purpose: The purpose of this memorandum is to ask for your approval for employees who interact with BLM as part of their work to use official Government time to complete a survey related to their experiences. I recommend that you approve this request.

 

Background: BLM has prepared a survey for Federal employees within the Service and the U.S. Department of Agriculture’s U.S. Forest Service. The survey will help BLM better understand what steps it can take to improve their coordination with both agencies (see attached).

 

The survey is designed to be taken over the Internet, and it should take no more than 20 minutes to complete. We will work with BLM and Regional management to send an email about the survey to affected employees in Regions 1, 2, 6, 7, and 8 and Headquarters. We anticipate the email will go to approximately 500 employees.

 

Your signature below will indicate your approval. Please contact me at (703) 358-2676 if you have questions or need additional information.

 

Approval: ________________________________________  Date: __________________

 

 

Attachment

 

 

 


For information on the content of this exhibit, contact the Division of Policy and Directives Management.


 

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