Form 5800-020 EPA Tools & Resources Webinar Series and EPA Science Tra

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

Survey Questions - EPA ToolsResources Webinars Satisfaction Survey

Office of Research & Development's EPA Tools & Resources Webinar Series and EPA Science Training Webinars - Attendee Satisfaction Survey

OMB: 2030-0051

Document [docx]
Download: docx | pdf

OMB Control Number:

2010-0042

Expiration: 3/31/21


Survey Questions for

EPA Tools & Resources Webinar Series and EPA Science Training Webinars

Evaluation Form



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 seven minutes per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, 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.

  1. What is your affiliation?

    1. Federal Government

    2. State/Territory Government

    3. Regional/County Government

    4. Local Government (excluding utilities)

    5. Tribe/First Nation/Indigenous Group

    6. NGO/Association/Foundation

    7. Consultant/Technical Assistance Provider

    8. Academia

    9. Private Industry

    10. Utility

    11. General Public

    12. Other (please specify)



  1. Please indicate your organization. (Open-ended)



  1. In what state/territory do you live in? If outside the U.S., please select “other.”

    1. Dropdown menu of all states/territories.


  2. Please indicate your overall satisfaction of the content for this webinar.

    1. Likert scale: Very unsatisfied, unsatisfied, neutral, satisfied, very satisfied

    2. Comments


  3. Overall, was the information presented during the webinar at an appropriate technical level?

    1. Not technical enough, appropriate, too technical

    2. Comments


  4. Please rate each aspect of the webinar logistics:

    1. Likert scale: Very unsatisfied, unsatisfied, neutral, satisfied, very satisfied

      1. Communication (Announcement flyer, social media, etc.)

      2. Registration Process

      3. Virtual platform

      4. Staff Support/Helpfulness

      5. Materials Share Site

    2. Comments


  5. Is there anything we can do to improve future webinars? (Open-ended)


  6. Are there any EPA research, science-based tools, and/or resources that you would like covered in future webinars? (Open-ended)

Form 5800-020

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWells, Brett
File Modified0000-00-00
File Created2021-10-20

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