Central Data Exchange (CDX) Customer Satisfaction Survey

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

Documents and Forms

Document Name Document Type
Form 5800-018 Central Data Exchange (CDX) Customer Satisfaction Survey Form and Instruction
5800-018 CDX Customer Satisfaction with Program Services CDX Customer Satisfaction Survey 20 12 17.pdf Form and Instruction
CDX Customer Satisfaction Survey Justification 12-16-2020.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Central Data Exchange (CDX) Customer Satisfaction Survey	Agency IC Tracking Number:	2434.118

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 and Instruction	5800-018	CDX Customer Satisfaction with Program Services	CDX Customer Satisfaction Survey 20 12 17.pdf		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: 6,990	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	6,990	6,990
Annual IC Time Burden (Hours)	233	233
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	CDX Customer Satisfaction Survey Justification 12-16-2020.docx	03/08/2021

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