Survey

NCAI Exchange Network Tribal Baseline Assessment Survey

 

EPA Form No. 5800-01

The public reporting and recordkeeping burden for this collection of information is estimated to average 30 minutes per response. 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. Include the OMB control number in any
correspondence. Do not send the completed survey to this address.

1. Are you currently collecting environmental data on Indian lands?

Yes

No

2. Do you have a need for collecting additional types of tribal environmental data (air, water, solid waste)?

Yes

No

If so, what?

3. Who manages your environmental data? (Collects, receives, reviews, uses, distributes, etc.) Please provide any available information, including name, organization, electronic mail address, and phone number(s).

4. What kinds of environmental data does your tribe currently collect on a regular basis?

Ambient Water Quality Drinking Water Air Quality	Waste Management Water Chemistry Other
If other, please specify:

5. Do you currently share or exchange environmental data with U.S. EPA, other tribes, certain states or local communities?

Yes

No

6. If YES to Question 5, what kind of environmental data do you share and with whom?

7. If NO to Question 5, would you want to share environmental data?

Yes

No

8. Do you have security concerns about sharing your tribal data with others? Such as: network hacking, or private/privileged data?

Yes

No

Please Explain

9. How is your environmental information collected?

Manual

Automatic

10. How is your environmental information stored?

Paper

Electronic

Other

O ther (please specify)

11. Do you have a specific tribal environmental data management application (database)?

Yes

No

If so, what is it?

12. How is your tribal environmental information submitted to EPA?

Mail

Fax

Electronic

13. Can your tribal organization connect to the Internet?

Yes

No

14. If so, how?

Dial-Up

High-Speed Internet

15. Does your tribal organization have dedicated IT staff?

Yes

No

If Yes, please list number, title, and certification if applicable

16. What are your needs/wishes to improve tribal environmental data management?

Access to information IT staff Hardware Software	Training Operations and Maintenance support Other
Other (please specify)

17. Do you distribute environmental information to community members?

Yes

No

If so, by what means and how often?

18. Have you heard of the National Environmental Information Exchange Network?

Yes

No

19. Are you familiar with the Environmental Protection Agency Central Data Exchange (CDX)?

Yes

No

20. Do you have cooperative agreements for joint environmental management (air, water, solid waste) with other tribes, EPA, state, and/or local units of government?

Yes

No

21. Do you have EPA-delegated responsibilities for environmental programs?

Yes

No

If yes, please list the delegated programs and data flows