Form approved OMB Control No. 2090-0019. Approval expires 08/31/2009.
Conference Evaluation Form
19th Annual National Tanks Conference & Exposition
San Antonio, Texas
To make next year’s conference even better, we need your evaluation of this year’s conference. Please check the answer that best reflects your response to the question.
1. Overall, how satisfied were you that the conference provided: |
Very Satisfied |
Satisfied |
Dissatisfied |
Very Dissatisfied
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Additional comments: _____________________________________________________________________________
2. How satisfied were you that the Trade Exposition provided:
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Very Satisfied |
Satisfied |
Dissatisfied |
Very Dissatisfied
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Additional comments: _____________________________________________________________________________
3. Overall, how satisfied were you with the: |
Does Not Apply |
Very Satisfied |
Satisfied |
Dissatisfied |
Very Dissatisfied
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Additional comments: _____________________________________________________________________________
4. Overall, how satisfied were you with the: |
Does Not Apply |
Very Satisfied |
Satisfied |
Dissatisfied |
Very Dissatisfied
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Additional comments: _____________________________________________________________________________
5. Please check all that apply to you:
__ State Agency __ Manager __ UST Program
___ Tribal Agency ___ Non-manager __ LUST Program
___ Federal Agency ___ Fund Program
___ Trade/Industry Organization
___ Educational Organization
___ Other (please specify): __________________________________________________________________________________
Thank you for taking the time to answer these questions. Please drop your completed form in the evaluation boxes at the conference. Or, you may email, fax, or mail your completed form to:
Lela Bijou
US EPA
1200 Pennsylvania Avenue, NW (5403G)
Washington, DC 20460-0001
703-603-0175 fax
703-603-7145 phone
[email protected] email
The burden for this survey is estimated at 5 minutes per response. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control numbers for EPA's regulations are listed in 40 CFR Part 9 and 48 CFR Chapter 15.
Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street, NW, Washington, DC 20503, Attention: Desk Officer for EPA. Include the EPA ICR number 1711.05 and OMB control number 2090-0019 in any correspondence.
File Type | application/msword |
Last Modified By | MDSADM10 |
File Modified | 2006-10-26 |
File Created | 2006-10-26 |