Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction

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⚠️ Notice: This information collection may be referencing outdated material.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 5800-042 Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction Form
5800-042 EPA's Small Drinking Water Systems Webinar Series Survey 2434ss61 Small Systems Justification-Renewal.pdf Form
2434ss61 Small Systems Justification-Renewal.pdf Justification IC Document

Information Collection (IC) Details

IC Title:	Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction	Agency IC Tracking Number:	2434.136

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	5800-042	EPA's Small Drinking Water Systems Webinar Series Survey	2434ss61 Small Systems Justification-Renewal.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: 2,100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,100	2,100
Annual IC Time Burden (Hours)	280	280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	2434ss61 Small Systems Justification-Renewal.pdf	03/12/2021

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