2434ss07 Pollution Justification

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2010-0042)

T ITLE OF INFORMATION COLLECTION:

Customer Satisfaction Survey for Pollution Prevention Resource Exchange Services

PURPOSE:

The purpose of this survey is to collect customer feedback on the services and pollution prevention (p2) information products that are provided via websites, webinars, email, listservs and social media. Information from this survey could determine which P2 information services continue to be supported or discontinued. The survey results will be used to improve access, usefulness and relevance of P2 information provided to the public.

DESCRIPTION OF RESPONDENTS:

Respondents may access this survey on-line using survey monkey in association with using a website or participating in a webinar. Hardcopy surveys may be used in face to face meetings, conferences, or trainings. In addition, the grantees will send out a link to the survey using their listservs. The last survey done in 2007/2008 had about 400 respondents, using similar methods of outreach.

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [ X] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software) [ ] Small Discussion Group

[ ] Focus Group [ ] Other: ______________________

CERTIFICATION:

I certify the following to be true:

1. The collection is voluntary.

2. The collection is low-burden for respondents and low-cost for the Federal Government.

3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

4. The results are not intended to be disseminated to the public.

5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.

Name:___Beth Anderson 202-564-8833 ([email protected])

To assist review, please provide answers to the following question:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [ ] Yes [ X] No

2. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No N/A

3. If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No N/A

Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [ X ] No

BURDEN HOURS

Category of Respondent	No. of Respondents	Participation Time	Burden
Web user	350	10 minutes	58.3 hours
Meeting or training attendee	50	10 minutes	8.3 hours
Totals	400	10 minutes	66.6 hours

FEDERAL COST: The estimated annual cost to the Federal government is 24 hours of EPA staff time to analyze and discuss the results and provide recommendations.

IF you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:

The selection of your targeted respondents

1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ ] Yes [X ] No

If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?

Administration of the Instrument

1. How will you collect the information? (Check all that apply)

[X ] Web-based or other forms of Social Media

[ ] Telephone

[ X ] In-person

[ ] Mail

[ ] Other, Explain

2. Will interviewers or facilitators be used? [ ] Yes [ X ] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

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