Fillable Form Cg-16700 - Norh American Ice Service Customer Survey Form (Page 2 of 2) in pdf

Form Cg-16700 - Norh American Ice Service Customer Survey Form Page 2

Download a blank fillable Form Cg-16700 - Norh American Ice Service Customer Survey Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Cg-16700 - Norh American Ice Service Customer Survey Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Please mark the choice that is closest to how you would answer the questions below. Please use the

blank lines below each section to provide any additional input or comments.

Are NAIS iceberg products useful to you?

Do you find NAIS iceberg products accessible?

Do NAIS iceberg products reach you in a timely manner?

Based on your experience, how accurate is the Iceberg Limit?

Extremely Accurate (icebergs never seen outside the Iceberg Limit)

Very Accurate (icebergs rarely seen outside the Iceberg Limit)

Somewhat Accurate (icebergs occasionally seen outside the Iceberg Limit)

Never Accurate (icebergs always seen outside the Iceberg Limit)

Please mark the choice that is closest to how you would answer the questions below. Please use the

blank lines below each section to provide any additional input or comments.

How often do you use NAIS iceberg products?

How often do you get ice information from routing services?

How often do you report icebergs to MCTS St. John’s?

How often do you detect or observe icebergs?

Please rank the following IIP products according to usefulness (1 = least important, 7 = most important)

NAIS SafetyNET Bulletin

NAIS SITOR Bulletin

NAIS NAVTEX Bulletin

NAIS Radio Facsimile Chart

NAIS Notice to Shipping

NAIS Website Products

NAIS List Server

How would you improve IIP’s products to make them more useful and convenient?

Please mail to:

Commander

International Ice Patrol

1 Chelsea Street

New London, CT 06320 USA

FAX to:

860-271-2773

iipcomms@uscg.mil

iipscomms@uscg.mil

Email to:

Privacy Act Notice

46 U.S.C. §80302 authorizes the collection of this information.

Authority:

The Coast Guard will use this information to conduct a customer satisfaction survey of North American Ice Service (NAIS) products provided to the

Purpose:

maritime community and other personnel or applicants who work in or around the vicinity of the Grand Banks of Newfoundland, specifically operating

during the annual ice season, historically between February and August of each year.

The information will be used by and disclosed to Coast Guard personnel and contractors or other agents who need the information to assist in activities

Routine Uses:

related to iceberg navigation hazards. Additionally, the Coast Guard may share the information with NAIS partners or other government agencies as

necessary to respond to potential or actual threats to transportation, or pursuant to its published Privacy Act system of records notice.

Furnishing this information is voluntary.

Disclosure:

CG-16700 (07/13)

Page 2 of 2

Reset