AttC EJI Use Case Breakout Session Survey (online)

AttC EJI Use Case Breakout Session Survey (online).pdf

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

AttC EJI Use Case Breakout Session Survey (online)

OMB: 0923-0047

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2/5/23, 5:51 PM

Environmental Justice Index Use Case Breakout Session Survey
McKenzie,

Environmental Justice Index Use Case Breakout Session Survey
Thank you for your interest in the EJI. This brief 3-minute survey is voluntary. Your answers will
be anonymous. Here is some more information about this survey and how you can consent to
take part.
PURPOSE: The Environmental Justice Index Team is conducting this survey to gather feedback
on how the EJI preforms. The information will be used to help improve the EJI in data,
accessibility, effectiveness, and instruction for the benefit of communities and policy makers
around the country. 
CONSENT: Taking part in this survey is completely voluntary. Your responses are anonymous.
Digital data will be stored in secure computer files. By proceeding, you indicate that you are
18 years of age or older, and CONSENT to participate in this survey.
ADDITIONAL INFO: ATSDR estimates the average public reporting burden for this collection
of information is 3 minutes per survey, including the time for reviewing instructions, searching
existing data/information sources, gathering and maintaining the data/information needed,
and completing and reviewing the collection of information. 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. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road
NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0923-0047).
Form Approved | OMB No. 0923-0047 | Exp. Date 02/28/2025

How would you or your organization use EJI in your work?
Please provide a description. 

1000

Do you agree with the following statement: It is easy to understand how
to use the EJI to find drivers of cumulative impacts for communities.

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

Do you agree with the following statement: The information on proper
use of the EJI is communicated in a way that is clear and easy to
understand.

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

What information about proper use of EJI would you like to see more
thoroughly explored in EJI materials?
Please provide a description. 

https://survey123.arcgis.com/share/45eb4081402f467f92e477ee01be9aa8?portalUrl=https://onemap.cdc.gov/portal

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Environmental Justice Index Use Case Breakout Session Survey
McKenzie,

1000

Have you already used the EJI in your work?
If so, please provide a description. 

1000

Submit

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