Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys (New)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 5800-054 Local Leadership Survey	Form and Instruction	New	Available
Form 5800-056 Diversity Profile Survey	Form and Instruction	New	Available
Form 5800-055 Recommended Survey Questions for Citizen Stewardship	Form	New	Available
Form 5800-055 Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys	Form	New	Repair queued
2679ssb01.docx	Supporting Statement B	Uploaded 2021-09-03	Repair queued
2679ssa01.docx	Supporting Statement A	Uploaded 2021-09-03	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249169	Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys	Form and Instruction	New	Local Leadership Survey
249169	Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys	Form and Instruction	New	Diversity Profile Survey
249169	Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys	Form	New	Recommended Survey Questions for Citizen Stewardship
249169	Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys	Form	New

ICR Details

OMB Control No: 2003-0002	ICR Reference No: 202109-2003-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: EPA/ROPHILA	Agency Tracking No: 2679.01
Title: Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys (New)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/07/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/14/2021
Terms of Clearance: Upon resubmission, the program must use the standard 18 question Supporting Statement format. In addition, the agency is reminded to limit consultation to 9 or fewer individuals and avoid providing personal information.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2025	36 Months From Approved
Responses	6,430	0	0
Time Burden (Hours)	2,298	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The U.S. Environmental Protection Agency's (EPA) Chesapeake Bay Program (the Program) is interested in tracking its progress at attaining its goals under the 2014 Chesapeake Bay Watershed Agreement (the Agreement). To do this, the Program plans to implement three surveys: the Citizen Stewardship Survey, the Diversity Profile Survey, and the Local Leadership Survey. The Citizen Stewardship Survey will be implemented as a multi-mode survey that includes phone, web, and mail components and will target approximately 5,200 residents living in the Chesapeake Bay area, stratified by jurisdiction (states and the District of Columbia). The Diversity Profile Survey will be implemented among people who work on partnership efforts within the Bay area as a web-based survey. The Local Leadership Survey will be implemented among state and local elected officials involved in policy making in the Bay area also as a web-based survey. The Diversity Profile Survey and the Local Leadership Survey will be implemented by having the survey link distributed via email by partner organizations and through list-servs. The Diversity Profile Survey will be distributed to approximately 900 people while the Local Leadership Survey will be distributed to approximately 15,000 people. The Program will be using the data from these three surveys to track it progress under the Stewardship goal of the 2014 Agreement. The Stewardship goal includes three outcomes: (1) Citizen Stewardship, (2) Local Leadership, and (3) Diversity. The three surveys under this ICR each address one of the outcomes and contribute to EPA's Government Performance and Results Act (GPRA) goals (EPA Goal 1, A Cleaner, Healthier Environment; Objective 1.2: Provide for Clean and Safe Water). Collecting these data and publishing them for public review will allow the public to track how well the Agreement is working to preserve and protect the Chesapeake Bay region from the standpoint of the Stewardship goal outlined in the Agreement. Overall, the Agreement contains 10 goals and their associated outcomes; data for the other nine goals are collected through other means. Combining the data for Stewardship goal outcomes from these surveys with the data for the other nine goals will provide the public with a comprehensive picture of the progress being made to preserve and protect the Chesapeake Bay.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 23362	05/03/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 50346	09/08/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys	5800-056, 5800-055, 5800-054	Recommended Survey Questions for Citizen Stewardship ,   Diversity Profile Survey ,   Local Leadership Survey

---

ICR Summary of Burden

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	6,430	0	0	6,430	0	0
Annual Time Burden (Hours)	2,298	0	0	2,298	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection.

---

Annual Cost to Federal Government: $399,699

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/14/2021

---