Form 5800-011 Science Matters Survey

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

SM Generic ICR Survey

Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey

OMB: 2010-0042

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OMB Control Number: 2010-0042

Approval Expiration Date: 3/31/21


Science Matters Survey Draft Form #5800-011


Section 1: General


The U.S. Environmental Protection Agency (EPA) would like to hear from you on how we can improve the EPA Science Matters newsletter. Please respond to the following questions to the best of your ability. Your responses will not be sold or used for any other purpose. The information gathered will be confidential and non-attributable.


  1. Please select the category that most closely fits your affiliation to the Science Matters newsletter.

Shape1 Industry affiliate

Shape2 State/Local Government employee

Shape3 Academic educator

Shape4 Student

Shape5 Member of the public

Shape6 Other (please specify):

Shape7


  1. How would you describe your experience with the newsletter?

Shape8 Extremely satisfied

Shape9 Satisfied

Shape10 Neutral

Shape11 Unsatisfied

Shape12 Extremely unsatisfied


(If unsatisfied options are chosen):


  1. Sorry to hear that! How can we improve your experience?

(fill in answer?) (word limit)


Section 2: Content


  1. What do you think about the content? Select all that apply.


It’s fun to read

It’s informative

It’s engaging

It’s educational

Other

Shape13

Please explain:





  1. What topics are you interested in? Select all that apply.

Air quality

Water

Research tools

Chemical safety

Human health

Sustainable and healthy communities

Building resiliency

Ecosystems

Other

Shape14

Please explain:





  1. What areas of the newsletter do you like the most?

Feature stories

Researchers at Work

Webinars



Section 3: Design

  1. How would you rate the design of the newsletter?


Excellent

Good

No opinion

Poor

Overall design





Layout





Graphics/photos





Ease of reading





Article length















Section 4: Newsletter Frequency

  1. How much of the newsletter do you read?

Every article

Most articles

Some articles

I just skim the email



  1. Do you read:

Shape15 Every issue

Shape16 Most issues

Shape17 Some issues

Shape18 No issues

Shape19 Not applicable (new subscriber)


  1. The current publishing frequency (every two weeks) is:

As it should be

Not frequent enough

Too frequent


  1. How likely are you to share the newsletter with someone?

Very likely

Somewhat likely

Indifferent

Unlikely



  1. Is there anything else you’d like to add?

(fill in answer)



Thank you!

Have a great day!



This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2010-0042). Responses to this collection of information are voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 5 minutes per response. Send comments on the Agency’s need this formation, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden including through the use of automated collection techniques to the Director, Regulatory Support Division, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.



EPA Form # 5800-011

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