Information Collection Request

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

ICR 202106-2030-001 · OMB 2030-0051 · Active

Forms and Documents

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

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
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

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2024 36 Months From Approved
180,000 0 120,000
45,000 0 30,000
0 0 0





Reginfo record details
29
table that charts list of burden
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, 5800-026, 5800-027, 5800-029, 5800-030, 5800-032, 5800-033, 5800-034, 5800-035, 5800-036 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

table that charts list of burden
  Total Approved 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


Reginfo record details
  No