Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2030-0051 can be found here:

Documents and Forms

Document Name Document Type
Form 5800-0012 Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10 Form
5800-0012 Evaluating Diesel Emissions Reduction Act (DERA) Program DERA Survey_1-14-2021.docx Form
EPA-R9_Generic ICR Clearance Justification_DERA Survey_1-14-2021.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10	Agency IC Tracking Number:	2434.122

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	5800-0012	Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10	DERA Survey_1-14-2021.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: 90	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	90	90
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	EPA-R9_Generic ICR Clearance Justification_DERA Survey_1-14-2021.docx	03/08/2021

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