BLM REPOSITORY SURVEY
From 36 CFR 79, 411 DM, and BLM 8160 & 8270 policy
Repository:_____________________________________________
Acronym:_________
Repository Condition:
Date of Evaluation:_______________
Good
□
Fair
□
Poor
□
Repository Address (include city, state, and web address):
Repository Contact (include title, address, phone, and email):
Total
BLM administered lands
NLCS
Archives
__________
__________
_____
History
__________
__________
_____
Archaeology
__________
__________
_____
Paleontology
__________
__________
_____
Other
__________
__________
_____
Total cataloged objects
__________
__________
_____
Estimated catalog backlog
__________
__________
_____
BLM States Represented:
____________________________________________
Col. Mgt. Software:
____________________________________________
Alternate Repository:
____________________________________________
Latest Partial Inventory:
__________
100% Inventory: __________
Date of Latest SOCS:
__________
Date of AAM Accreditation:
__________
Provide Copies of the Following Documents:
□ Collection Management Plan/Policy
□ Integrated Pest Management Plan
□ Scope of Collections Statement (SOCS)
□ Deaccession Policy
□ Access Policy
□ Transfer/Disposal Policy
□ Ethics Policy
□ Accession Receiving Form
□ Housekeeping Plan
□ Loan Forms (incoming/outgoing)
Comments (reference any recent or existing MOU’s, Agreements, or Contracts):
________________________________________ _______________
BLM Evaluator (include title)
Date