Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)

Forms and Documents

Document Name	Status
Form 7100-002 Survey of Certification Plan and Reporting Database Users – Evaluating User Access Form and Instruction	New
Form 5800-011 Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey Form and Instruction	New
Form 5800-0012 Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10 Form and Instruction	New
Form 6200-020 Customer Satisfaction Survey for Format of 2020 America Recycles Events Form and Instruction	New
Form 5800-010 Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR) Form and Instruction	New
Form 5800-009 ECMPS Client Tool Usage Survey Form	New
Form 5800-008 Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Lead Librarian Training Component Form and Instruction	New
Form 5800-007 EnviroAtlas Training and Resources Customer Satisfaction Survey Form	New
Form 5800-006 Customer Satisfaction Survey for state government officials that participated in the Office of Research and Development's FY 2019-2022 strategic research planning and implementation process Form	New
Form 6200-020 Customer Satisfaction Survey for the America Recycles Events Form and Instruction	New
Form 7100-001 Focus Groups with Farmworkers- Evaluating Draft Worker Safety Posters and Icons Form	New
Form 6100-055 Exploring and Applying Surface Water Modeling Tools to Achieve Program Goals Training Workshop Evaluation Form and Instruction	New
Quality Assurance Project Plan Initiative Survey: Training and Resource Needs Form and Instruction	New
Form 5800-003 EPA Docket Center Customer Satisfaction Survey Form and Instruction	New
Stormwater Technical Assistance Process Evaluation Form and Instruction	New
Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey Form and Instruction	New
Forum on Life Cycle Approaches to Sustainably Manage Materials in Building and Infrastructure Projects Outcomes Prioritization Survey Form and Instruction	New
Form 6700-007 Post-Webinar Survey of Trainees Monitoring the EPA Region 5 Advanced Worker Protection Standard Inspector Training Form and Instruction	New
Form - eManifest User Testing Form and Instruction	New
Sample Focus Group 2434ss72 PSA Surveys-Focus Group Studies.docx Supplementary Document	2018-03-13
Sample Focus Group 2434ss72 PSA Surveys-HCNScript1.pdf Supplementary Document	2018-03-13
2434ss75B revOMB.docx Supporting Statement B	2018-03-13
2434ss75A revOMB.docx Supporting Statement A	2018-03-13
Template Generic Clearance Submission.docx Supplementary Document	2014-11-04

IC Document Collections

IC ID	Document Title	Status
244181	Guest Speaker Survey Other-Request for Generic IC Approval	New
243538	Survey of Certification Plan and Reporting Database Users – Evaluating User Access Form and Instruction	New
243077	Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey Form and Instruction	New
242891	Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10 Form and Instruction	New
242671	Customer Satisfaction Survey for Format of 2020 America Recycles Events Form and Instruction	New
242480	Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR) Form and Instruction	New
242334	Fish Consumption Advisories Other-Discussion Guide	New
242224	Focus Groups with Farmworkers - Evaluating videos and posters Other-Moderator Guide	New
242205	ECMPS Client Tool Usage Survey Form	New
241979	Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Lead Librarian Training Component Form and Instruction	New
241707	EnviroAtlas Training and Resources Customer Satisfaction Survey Form	New
241654	Customer Satisfaction Survey for state government officials that participated in the Office of Research and Development's FY 2019-2022 strategic research planning and implementation process Form	New
241194	Focus Group with Farmworkers - Evaluating Draft Radio Scripts Other-Focus Group Moderator Guide	New
240970	Customer Satisfaction Survey for the America Recycles Events Form and Instruction	New
240862	Industry Beta-Testing of Chemical Data Reporting (CDR) Electronic Reporting Tool Other-Beta Testing Slides	New
238629	Focus Groups with Farmworkers- Evaluating Draft Worker Safety Posters and Icons Form	New
238041	Exploring and Applying Surface Water Modeling Tools to Achieve Program Goals Training Workshop Evaluation Form and Instruction	New
237610	Quality Assurance Project Plan Initiative Survey: Training and Resource Needs Form and Instruction	New
237508	EPA Docket Center Customer Satisfaction Survey Form and Instruction	New
237484	Stormwater Technical Assistance Process Evaluation Form and Instruction	New
235659	Decision Integration for Strong Communities Application Customer Satisfaction Survey Other-Script	New
234888	Structured Interviews with 22 Grantees on Grant Program Structure Other-Interview Questions	New
234122	Usability and Functionality Survey of How's My Waterway 2.0 at the 2018 Restore America's Estuaries Summit Other-Script	New
232959	Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey Form and Instruction	New
232905	Forum on Life Cycle Approaches to Sustainably Manage Materials in Building and Infrastructure Projects Outcomes Prioritization Survey Form and Instruction	New
231426	Post-Webinar Survey of Trainees Monitoring the EPA Region 5 Advanced Worker Protection Standard Inspector Training Form and Instruction	New
231096	eManifest User Testing Form and Instruction	New
230981	EHD Survey Other-Survey	New
229285	Small Systems Survey Other-null	New
229284	CTS Survey Other-null	New
229283	Healthier Survey Other-null	New
229282	ICIS Survey Other-null	New
229281	OPP Focus Group Other-null	New
229280	EJScreen Useful Survey Other-null	New
229279	CDX IT System Survey Other-null	New
229277	R2 Children's Health Survey Other-null	New
229276	Toxics Release Inventory Webinar Survey Other-null	New
229275	Climate Adaption Resource Center Website Survey Other-null	New
229274	Alternate Dispute Survey Other-null	New
229273	OSA Survey Other-null	New
229272	ECCR Survey Other-null	New
229271	OSC Technical Assistance Survey Other-null	New
229270	EJScreen Other-null	New
229269	RCRA First Survey Other-null	New
229268	eSIP CDX Survey Other-null	New
229267	P2RIC Survey Other-null	New
229266	Solar Survey Other-null	New
229265	WPS Poster Survey Other-null	New
229264	Cincinnati Focus Group Other-null	New
229263	CRW Website Survey Revised Other-null	New
229262	CRW Website Survey Other-null	New
229261	PSA Surveys Other-null	New
229260	TRI-ME2 Survey Other-null	New
229259	CDX Support Surveys Other-null	New
229258	OSA Survey Other-null	New
229257	WQSA Survey Other-null	New
229256	Envirofacts Other-null	New
229255	iSHC Survey Other-null	New
229254	LFLP Survey Other-null	New
229253	eGrid Survey Other-null	New
229252	WPS Focus Group Other-null	New
229251	R9 Training Survey Other-null	New
229250	WEFTEC Survey Other-null	New
229249	Air Sensor Survey Other-null	New
229248	Pesticide Survey Other-null	New
229247	TRI Website Other-null	New
229246	Acquisition 360 Survey Other-null	New
229245	Tanks Conference Other-null	New
229243	ESML Survey Other-null	New
229242	RSEI Survey Other-null	New
229241	CDX Help Desk Survey Other-null	New
229240	CDX Customer Satisfaction Survey Other-null	New

ICR Details

OMB Control No: 2010-0042	ICR Reference No: 201711-2010-001
Status: Active	Previous ICR Reference No: 201604-2010-001
Agency/Subagency: EPA/OP	Agency Tracking No: 2434.75
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/13/2018
	Date Received in OIRA: 11/30/2017
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.”

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved	03/31/2018
Responses	120,000	0	120,000
Time Burden (Hours)	30,000	0	20,000
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 33908	09/19/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 55362	11/21/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 72

IC Title	Form No.	Form Name
Structured Interviews with 22 Grantees on Grant Program Structure
EJScreen
RCRA First Survey
OSC Technical Assistance Survey
Climate Adaption Resource Center Website Survey
Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Lead Librarian Training Component	5800-008	Lead Librarian Training Evaluation
Post-Webinar Survey of Trainees Monitoring the EPA Region 5 Advanced Worker Protection Standard Inspector Training	6700-007	Evaluation: EPA Region 5 Advanced Worker Protection Standard Inspector Training
RSEI Survey
Quality Assurance Project Plan Initiative Survey: Training and Resource Needs	n/a	Script for State and Tribal QAPP Training and Resource Needs Survey
EHD Survey
Usability and Functionality Survey of How's My Waterway 2.0 at the 2018 Restore America's Estuaries Summit
Decision Integration for Strong Communities Application Customer Satisfaction Survey
ECMPS Client Tool Usage Survey	5800-009	ECMPS Survey
Industry Beta-Testing of Chemical Data Reporting (CDR) Electronic Reporting Tool
Acquisition 360 Survey
EJScreen Useful Survey
Cincinnati Focus Group
ECCR Survey
CDX Help Desk Survey
Alternate Dispute Survey
Customer Satisfaction Survey for state government officials that participated in the Office of Research and Development's FY 2019-2022 strategic research planning and implementation process	5800-006	ORD State Engagement Feedback Survey
R9 Training Survey
Envirofacts
WQSA Survey
CDX IT System Survey
TRI-ME2 Survey
Solar Survey
CDX Customer Satisfaction Survey
Air Sensor Survey
OPP Focus Group
ICIS Survey
Focus Group with Farmworkers - Evaluating Draft Radio Scripts
Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR)	5800-010	NeT Zendesk Customer Survey
PSA Surveys
WPS Poster Survey
ESML Survey
R2 Children's Health Survey
Tanks Conference
TRI Website
WEFTEC Survey
LFLP Survey
iSHC Survey
Focus Groups with Farmworkers- Evaluating Draft Worker Safety Posters and Icons	7100-001	Focus Group Work Sheet
Fish Consumption Advisories
eManifest User Testing	-	System Usability Scale
Stormwater Technical Assistance Process Evaluation	n/a	Instrument for Stormwater Action Plan - script
Customer Satisfaction Survey for the America Recycles Events	6200-020	Customer Satisfaction Survey for the America Recycles Events
eGrid Survey
eSIP CDX Survey
Healthier Survey
Focus Groups with Farmworkers - Evaluating videos and posters
Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey	5800-011	Science Matters Survey
P2RIC Survey
CTS Survey
Pesticide Survey
OSA Survey
CDX Support Surveys
OSA Survey
Guest Speaker Survey
Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey	n/a	TRI Website Survey
Forum on Life Cycle Approaches to Sustainably Manage Materials in Building and Infrastructure Projects Outcomes Prioritization Survey	n/a	Follow-up Questionnaire: Forum on SMM in the Built Environment
EnviroAtlas Training and Resources Customer Satisfaction Survey	5800-007	EnviroAtlas Training and Resources Customer Service Survey
Customer Satisfaction Survey for Format of 2020 America Recycles Events	6200-020	Virtual vs In Person America Recycles 2020 Events Survey
Survey of Certification Plan and Reporting Database Users – Evaluating User Access	7100-002	Survey of Certification Plan and Reporting Database Users – Evaluating User Access
CRW Website Survey
CRW Website Survey Revised
WPS Focus Group
Toxics Release Inventory Webinar Survey
EPA Docket Center Customer Satisfaction Survey	5800-003	Customer Service Survey
Small Systems Survey
Exploring and Applying Surface Water Modeling Tools to Achieve Program Goals Training Workshop Evaluation	6100-055	Training Workshop Evaluation - Exploring and Applying Surface Water Modeling Tools to Achieve Program Goals
Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10	5800-0012	Customer Satisfaction Survey

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	120,000	120,000	0	0	0	0
Annual Time Burden (Hours)	30,000	20,000	0	0	10,000	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden hour has increased by 10,000, which reflects the increased use of the generic clearance that we have seen over the past few years.

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Annual Cost to Federal Government: $18,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/30/2017

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