Information Collection

EPA Docket Center Customer Satisfaction Survey

IC 246184 under ICR 202012-2010-001 · OMB 2010-0042.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

2434.128

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.