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

Forms and Documents

Document Name	Status
Form 5800-050 Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey Form	New
Form 5800-049 Great Lakes AOC Project Area Community Use and Benefits Site User Satisfaction Survey Form	New
Form 5800-048 e-Manifest Electronic Manifest Questionnaire Form	New
Form 5800-047 EPA Water Quality Standards Academy Student Course Evaluation Form	New
Form 5800-046 Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey Form	New
Form 5800-045 TRI-MEweb Customer Survey (Toxic Release Inventory – Made Easy Web) Form	New
Form 5800-043 Evaluation Forms for the National Tanks Conference and Expo Form	New
Form 2010-0042 Survey of Certification Plan and Reporting Database Users – Evaluating User Access Form	New
Form 5800-042 Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction Form	New
Form 5800-041 Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process Form	New
Form 5800-011 Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey Form	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	New
Form 5800-040 Customer Satisfaction Survey for Healthier School Environments Workshops Form	New
Form 5800-039 Guest Speaker Survey Form	New
Form 5800-015 Pretesting Outreach and Web Materials for Fish Consumption Advisories Form and Instruction	New
Form 5800-013 Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Patron Air Sensor Use Component Form	New
Form 5800-003 EPA Docket Center Customer Satisfaction Survey Form	New
Form 5800-007 EnviroAtlas Survey Form	New
Form 5800-016 EJScreen 2022 Impact Survey Form	New
Form 5800-038 eGRID Customer Satisfaction Survey Form	New
Form 5800-037 ECHO Post Training Survey Questions Form	New
Form 5800-020 Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA Form	New
Form 5800-0012 Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10 Form	New
Form 6200-021 Customer Satisfaction Survey for the America Recycles Events Form	New
Form 5800-020 Office of Research & Development's EPA Tools & Resources Webinar Series and EPA Science Training Webinars - Attendee Satisfaction Survey Form and Instruction	New
Form 5800-019 Central Data Exchange (CDX) Help Desk Survey Form and Instruction	New
Form 5800-018 Central Data Exchange (CDX) Customer Satisfaction Survey Form and Instruction	New
Form 5800-017 Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey Form	New
Instructions & Template for Generic Customer Service Collection Request.docx Supplementary Document	2021-03-31
2434ss99.docx Supporting Statement A	2021-03-31
2434ss99.docx Supporting Statement B	2021-03-31

IC Document Collections

IC ID	Document Title	Status
246508	Survey Soliciting Input for Vision 2032 Plan Other-Survey Questions	New
246393	Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey Form	New
246262	Great Lakes AOC Project Area Community Use and Benefits Site User Satisfaction Survey Form	New
246261	e-Manifest Electronic Manifest Questionnaire Form	New
246231	EPA Water Quality Standards Academy Student Course Evaluation Form	New
246228	Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey Form	New
246222	TRI-MEweb Customer Survey (Toxic Release Inventory – Made Easy Web) Form	New
246221	Evaluation Forms for the National Tanks Conference and Expo Form	New
246220	Survey of Certification Plan and Reporting Database Users – Evaluating User Access Form	New
246219	Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction Form	New
246203	Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process Form	New
246201	Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey Form	New
246198	Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR) Form	New
246196	Customer Satisfaction Survey for Healthier School Environments Workshops Form	New
246190	Guest Speaker Survey Form	New
246189	Pretesting Outreach and Web Materials for Fish Consumption Advisories Form and Instruction	New
246188	Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Patron Air Sensor Use Component Form	New
246184	EPA Docket Center Customer Satisfaction Survey Form	New
246183	EnviroAtlas Survey Form	New
246181	EJScreen 2022 Impact Survey Form	New
246180	eGRID Customer Satisfaction Survey Form	New
246178	ECHO Post Training Survey Questions Form	New
246141	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA Form	New
246140	Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10 Form	New
246139	Customer Satisfaction Survey for the America Recycles Events Form	New
246129	Office of Research & Development's EPA Tools & Resources Webinar Series and EPA Science Training Webinars - Attendee Satisfaction Survey Form and Instruction	New
246127	Central Data Exchange (CDX) Help Desk Survey Form and Instruction	New
246125	Central Data Exchange (CDX) Customer Satisfaction Survey Form and Instruction	New
246087	Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey Form	New

ICR Details

OMB Control No: 2010-0042	ICR Reference No: 202012-2010-001
Status: Received in OIRA	Previous ICR Reference No: 201711-2010-001
Agency/Subagency: EPA/OP	Agency Tracking No: 2434.99
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	Date Submitted to OIRA: 03/31/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2021
Responses	180,000	120,000
Time Burden (Hours)	45,000	30,000
Cost Burden (Dollars)	0	0

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Abstract: This collection of information is designed to support multiple Agency efforts to gather information about its products and service delivery from the public and other stakeholders. The types of collections that this generic clearance covers include, but are not limited to, qualitative customer satisfaction surveys, observational testing, and focus groups. Subjects of study may include EPA conferences, workshops, trainings, webinars, and web resources as well as the interaction the public has with our helpdesks, processing centers, and educational outreach efforts. Getting such feedback in a timely manner is critical if the Agency is to know how and where it should focus while seeking to improve, or expand upon, its products and services. EPA shall comply with OMB’s requirements for activities approved under a generic clearance. Namely, they must be: voluntary; low burden and low-cost for both the respondents and the Federal Government; noncontroversial; targeted to respondents who have experience with the program or may have experience with the program in the near future; and abstain from collecting personally identifiable information (PII) to the greatest extent possible. Information gathered will be used internally for general service improvement and program management purposes and released publicly only in an anonymized or aggregated fashion. It will not be used in statistical analysis intended to yield results that can be generalized to the population of study nor will it be used to substantially inform influential policy decisions.

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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:
	85 FR 43236	07/16/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 16208	03/26/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 29

IC Title	Form No.	Form Name
Central Data Exchange (CDX) Customer Satisfaction Survey	5800-018	CDX Customer Satisfaction with Program Services
Central Data Exchange (CDX) Help Desk Survey	5800-019	CDX Help Desk Survey
Customer Satisfaction Survey for Healthier School Environments Workshops	5800-040	HEALTHIER SCHOOL ENVIRONMENTS WORKSHOP CUSTOMER SATISFACTION SURVEY
Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process	5800-041	ORD State Engagement Feedback Survey
Customer Satisfaction Survey for the America Recycles Events	6200-021	America Recycles 2020 Event Survey & Pledge Signer Input
ECHO Post Training Survey Questions	5800-037	ECHO Post Training Survey Questions
EJScreen 2022 Impact Survey	5800-016	EJScreen 2022 Impact Survey
EPA Docket Center Customer Satisfaction Survey	5800-003	Customer Service Survey
EPA Water Quality Standards Academy Student Course Evaluation	5800-047	Water Quality Standards Academy Evaluation Form
EnviroAtlas Survey	5800-007	EnviroAtlas Survey
Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10	5800-0012	Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10
Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Patron Air Sensor Use Component	5800-013	Los Angeles Public Library Patron Air Sensor Loan Survey
Evaluation Forms for the National Tanks Conference and Expo	5800-043, 5800-044	Individual Session Evaluation Form 27th National Tanks Conference and Expo ,   Conference Evaluation Form 27th National Tanks Conference and Expo
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	5800-028, 5800-031, 5800-022, 5800-020, 5800-024, 5800-023, 5800-025, 5800-032, 5800-033, 5800-034, 5800-035, 5800-036, 5800-026, 5800-027, 5800-029, 5800-030	Agreement Seeking Case Lead Administrative Proceeding Evaluation Survey ,   Agreement Seeking Case Lead Agency Decision Evaluation Survey ,   Agreement Seeking Case Lead Judicial Proceeding Evaluation Survey ,   Agreement Seeking Participant Administrative Proceeding Evaluation Survey ,   Agreement Seeking Participant Agency Decision Evaluation Survey ,   Agreement Seeking Participant Judicial Proceeding Evaluation Survey ,   Facilitated Dialogue Participant Questionnaire ,   Follow-up Effects Survey Case Lead Administrative Proceeding ,   Follow-up Effects Survey Case Lead Agency Decision ,   Follow-up Effects Survey Case Lead Judicial Proceeding ,   Follow-up Effects Survey Participant Administrative Proceeding ,   Follow-up Effects Survey Participant Agency Decision ,   Follow-up Effects Survey Participant Judicial Proceeding ,   Long Term Group Facilitation Participant Questionnaire ,   Meeting Facilitation Questionnaire ,   Training Evaluation Survey
Great Lakes AOC Project Area Community Use and Benefits Site User Satisfaction Survey	5800-049	Site User Satisfaction Survey
Guest Speaker Survey	5800-039	Guest Speaker Survey
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	Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR)
Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey	5800-017	User Survey
Office of Research & Development's EPA Tools & Resources Webinar Series and EPA Science Training Webinars - Attendee Satisfaction Survey	5800-020	EPA Tools & Resources Webinar Series and EPA Science Training Webinars Evaluation Form
Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey	5800-011	Science Matters Survey
Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction	5800-042	EPA's Small Drinking Water Systems Webinar Series Survey
Pretesting Outreach and Web Materials for Fish Consumption Advisories	5800-015, 5800-14	Final Screener ,   Discussion Guide
Survey Soliciting Input for Vision 2032 Plan
Survey of Certification Plan and Reporting Database Users – Evaluating User Access	2010-0042	Survey of Certification Plan and Reporting Database Users – Evaluating User Access
TRI-MEweb Customer Survey (Toxic Release Inventory – Made Easy Web)	5800-045	RY 2020 TRI-MEweb Application User Survey
Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey	5800-046	2021 TRI Website Satisfaction Survey
Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey	5800-050	Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey
e-Manifest Electronic Manifest Questionnaire	5800-048	e-Manifest Electronic Manifest Questionnaire
eGRID Customer Satisfaction Survey	5800-038	eGRID User Satisfaction Survey

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ICR Summary of Burden

	Total Request	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	180,000	120,000	0	0	60,000	0
Annual Time Burden (Hours)	45,000	30,000	0	0	15,000	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 number of anticipated responses and total burden hours have been adjusted upward by 50% to accommodate continued growth of the Agency’s use of this generic collection.

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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? No

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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: 03/31/2021

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