EPA Docket Center Customer Satisfaction Survey

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

Documents and Forms

Document Name Document Type
Form 5800-003 EPA Docket Center Customer Satisfaction Survey Form
5800-003 Customer Service Survey Customer Service Survey.docx Form
5800-003 Customer Service Survey Customer Service Survey.docx Form
ICR Form DC Customer Service Survey_2021.docx Justification IC Document
ICR Form DC Customer Service Survey_2021.docx Justification IC Document

Information Collection (IC) Details

IC Title:	EPA Docket Center Customer Satisfaction Survey	Agency IC Tracking Number:	2434.128

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	5800-003	Customer Service Survey	Customer Service Survey.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: 270	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	270	270
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	ICR Form DC Customer Service Survey_2021.docx	03/10/2021

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