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SENT BY: 1-12-99 ; 3:04PM ; WSC/FPII 1 303 2410336;* 1/ 1 <br /> Technical Assistance.Evaluation <br /> LIMB#t I(r29-0114 <br /> Bttplrea i0rtltZAtil <br /> Recently the GSM's Western Regional Coo mating Center-Program Stmnort Division _ providedl <br /> technical assistance for the project or activity listed blow. OSM would appreciate you taking the time to <br /> complete this evaluatinm. Your response will assist cis in evaluating and improve our perforntanlce. We are <br /> collcc:ting this information as a part of evaluating OSM's performance of its responsibilities under the <br /> Government Performance and Results Act. <br /> Project Name: ,t t- A s/ti J .t c 11 Cl? v?/,15 <br /> Assistance completed on: <br /> Assistance provided by: 6rr <br /> Type of assist e: [)Permitting []Inspection []Enforcement <br /> H06er(described C �- e 2,z. C=- �e S G n� �?s�./7) C t •L S T/' v <br /> �95Sr S r11—ce— <br /> Was the assistance timely? (5 1Vo <br /> Comments: J.L r 9<-s-t t.A. C,%7/' e teP ram- ! p�. /� i/ 14 t s <br /> Oe p, oe z ,e e-r 9 <br /> Was the assistance of high quality and professional? C-.�/No <br /> Comments: A-. l ?4- 0/1", e- ree t- 5 ff=<e 'c iD e-t": /-r 5 4'e 0 -tee 4,1 t 1c.. <br /> oL,t ! e e K c ee de- e C r,�' /�.t s . 4 e e _ <br /> Were your objectives for <br /> the as.5istanee met? GPNO <br /> Comments: �/� / ti ( 12(l'L c o e 0 LP e/1 r.n r'ZA4- C- U/i .1 e c rr 1,- i <br /> � c r rL y -1r r e e ee /fit/,� l%i5 jr cJ— e /+ram td <br /> s r //- e 1,%�-c <br /> ✓['fin rh�/I S�a�' �-�tat.. !!,U <br /> (Please circle one) <br /> How would you rate the quality of assistance: (Poor) 1 2 3 4 Ci) (Excellent) <br /> �QIIIl11et1L*i: /�c G- 4e 5 1 C r G C- t- 7 e r 4't e t c �.i1 T /3++ iI <br /> r/7vre 55tc-✓milL Cj ,r?- c e<`j .7j 4'!74' , /7-/i <br /> Please return to: OSM Program Support Divsion Or Fax to-303-844-1538 <br /> 1999 Brwdway Suit 332o cw send by email to ViFdtSON�ttitirrnr <br /> Denver.Co,80202-573 <br /> PAPERWORK RGLKJCf N 5TATF.Mgtff <br /> The Pape wodc Roduetien AA I of 1995("U.S.C.3500 w4uires us to inform you that:Feetend Agencies may not conduct of Sponsor,ands pctSW is not 1quired <br /> to r qmw to,a C016:60n of in6cumatio n tines,[it(5splays a currently valid OMH cmittol numitcr. Thib information is being cul w-ml in nrdce to better aeety,you <br /> in the future and as part of OSM'.s prrf rtnance of its msponsibilit"under the G werntnud Peritur we and Results Act_ The obligation to mpund iv voluntuy, <br /> Public repotting hu rim for this form m cotinwte d to WVent e 1It niffitit per m-4mnse,including tine for reviewing instmctions,gathering and maintaining data, <br /> and compictittg rmd reviewing the rnrm. E)irtet anwonerAs regarding the burden estimate w any other utpeet of this Corm to the 6dormation Collection Clearance <br /> officer,Moe of Surface Mining Rectanation and Bnibe ement.Ronm 210 SIB, 1951 Cwwitution Ave,NW,Washingtonr,U.C.20240;and the Interior Desk <br /> Officer,OMB control numb-at 10204H 14,Offtz a information attd Regulatory Affairs,Ofrice of Management and Budget.Washington,D.C_2n501. <br />