Information Collection

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

IC 242891 under ICR 201711-2010-001 · OMB 2010-0042.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.