Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2010-0042 can be found here:

Documents and Forms

Document Name Document Type
Form 5800-0012 Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10 Form and Instruction
5800-0012 Customer Satisfaction Survey EPA-R9_Generic ICR Clearance Justification_DERA Survey_7.30.20.docx Form and Instruction
EPA-R9_Generic ICR Clearance Justification_DERA Survey_7.30.20.docx Justification for Generic Collection IC Document

Information Collection (IC) Details

IC Title:	Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10	Agency IC Tracking Number:	2434.110

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
Form and Instruction	5800-0012	Customer Satisfaction Survey	EPA-R9_Generic ICR Clearance Justification_DERA Survey_7.30.20.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for Generic Collection	EPA-R9_Generic ICR Clearance Justification_DERA Survey_7.30.20.docx	09/16/2020

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