Welcome to the USACE Regulatory Survey your feedback is very important to help us better serve the needs of our clients. To get started please fill in the information below then click on the 'Next Page' button.

The Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0710-0012), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information it if does not display a currently valid OMB control number. PLEASE DO NO RETURN YOUR APPLICATION TO THE ABOVE ADDRESS. RETURN COMPLETED APPLICATION TO THE ADDRESS SHOWN ON THE APPLICATION INSTRUCTION SHEET.

We at the U.S. Army Corps of Engineers Regulatory Branch are committed to improving service to our customers and would like to know how well we have been doing. Who are our customers? You are our customers if you submitted a permit application, requested a jurisdictional determination or wetland delineation, or scheduled a pre-application meeting with us. Other customers include those of you who receive our Public Notice and/or commented on a particular project or our work in general, because of your interest in the Regulatory Program. To identify how we can better serve you, we need your help. Please take the time to fill out this brief survey and mail it back to us. Your honest opinions will help us determine areas in which we need to improve. For each question, please indicate the level of service you received by marking the appropriate number on a scale of 1-5, with 1 being low (dissatisfied) and 5 being high (very satisfied). If the question does not apply to you, simple mark N/A. Thank you for your time and comments! Response to this survey is VOLUNTARY. If you choose not to respond, it will not affect any current or future dealings you may have with the USACE in any way.

ENG FORM 5065, Feb 97; (Proponent: CECW-OR); Approved: 19 August 2002; OMB No.: 0710-0012; Expires: 31 May 2009

PRIVACY ACT STATEMENT
Authorities: The government Performance and Results Act of 1993 and Executive Order (EO) 12862, 'Setting Customer Service Standards', dated September 11, 1993. Purpose: To determine the quality of services our customers expect, as well as their satisfaction with USACE's existing services. lnformation provided on this form will be used in evaluating the performance of the Corps Regulatory Program. Routine Uses: This information may be shared with the Office of Management and Budget, members of Congress, and other federal, state, and local government.
Information About You
Fullname:
Address:
Phone:
Can we contact you?:
Please indicate the nature of your business:
(If applicable, check more than one)








What Service(s) Did You Seek From the Corps?
(If applicable, check more than one)




Which Corps Office did you deal with?
(If applicable, check more than one)