Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey

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

Documents and Forms

Document Name Document Type
Form 5800-011 Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey Form
5800-011 Science Matters Survey SM Generic ICR Survey.docx Form
5800-011 Science Matters Survey SM Generic ICR Survey.docx Form
Science Matters Survey Justification.docx Justification IC Document
Science Matters Survey Justification.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey	Agency IC Tracking Number:	2434.134

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	5800-011	Science Matters Survey	SM Generic ICR 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: 15,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,200	15,200
Annual IC Time Burden (Hours)	1,267	1,267
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	Science Matters Survey Justification.docx	03/11/2021

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