0923-0047 AttD EJI Explorer Demo Session Survey (Word)

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

AttD EJI Explorer Demo Session Survey (Word)

OMB: 0923-0047

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Attachment C.

Environmental Justice Index Explorer Demo 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 3minutes 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

  1. What specific, additional features would help you to use the EJI Explorer in your work? Please provide a description.

  2. How would you improve the overall EJI Explorer page layout? Please provide a description.

  3. Do you agree with the following statement: The EJI Explorer presents data in an easily interpretable fashion.

    1. Strongly disagree

    2. Disagree

    3. Neutral

    4. Agree

    5. Strongly Agree

  4. What additional information might help in interpreting data provided through the EJI Explorer? Please provide a description.




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMcKenzie, Benjamin (ATSDR/OAD/OIA)
File Modified0000-00-00
File Created2023-08-29

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