Incident Waste Management Planning and Response Tool (IWMPRT) Customer Survey

Voluntary Customer Service Satisfaction Surveys (Renewal)

Documents and Forms

Document Name Document Type
1711ss26 - IWMPRT - Customer Survey.docx Other-Survey
1711ss26 - IWMPRT - Justification.doc 1711ss26 - IWMPRT - Justification IC Document

Information Collection (IC) Details

IC Title:	Incident Waste Management Planning and Response Tool (IWMPRT) Customer Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			1711ss26 - IWMPRT - Customer Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	20	0	0	0	0	0
Annual IC Time Burden (Hours)	5	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1711ss26 - IWMPRT - Justification	1711ss26 - IWMPRT - Justification.doc	09/12/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.