USDA Forest Service OMB 0596-0240
EXP. ##/##/20##
Appendix 2 – Survey Instrument for Phase 2 of the STEW-MAP Information Collection
Welcome to the STEW-MAP survey!
STEW-MAP stands for the Stewardship Mapping and Assessment Project.
STEW-MAP is collecting information about civic groups and organizations that do environmental stewardship work in your region. These organizations may not primarily focus on the environment, but instead be focused on housing, immigration, social services; however, they still engage in caring for the environment in some fashion.
STEW-MAP uses a broad definition of stewardship: conserving, managing, transforming, monitoring, advocating for, and educating the public about local environments. Stewardship activities can include planting trees, restoring a wetland, transforming the local food system, advocating for open space preservation, gardening in a schoolyard, cleaning up a vacant lot, environmental education, or partnering with other organizations on local environmental issues.
By participating in STEW-MAP, you can help potential volunteers, public agencies, funders, and other stewards find your group and learn about what it does. You will also be able to learn about other groups doing stewardship work in your region.
Your participation in STEW-MAP is completely voluntary. Your personal contact information will not be made public in any way; it will only be used by the research team to contact you if we have questions about information you provide on the survey.
If you wish, your group or organization’s basic contact information and information about the place(s) you do stewardship work will be displayed as part of the online stewardship map for the region. This helps everyone see what groups are doing stewardship where. In section 2 of the survey, you may indicate whether or not you want your group’s information to be displayed on the online map.
If you would prefer to answer the STEW-MAP survey questions on paper or over the phone, please contact XXX.
STEW-MAP projects have already been done in Baltimore, Chicago, Los Angeles, New York City, Philadelphia, and Seattle, as well as San Juan, Puerto Rico; Valledupar, Colombia; and Paris, France. Please visit https://www.nrs.fs.fed.us/urban/monitoring/stew-map/ to learn more.
Thank you for your time and participation!
Burden Statement
Paperwork Reduction and Burden Estimate: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0240. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD).
Privacy Act Statement:
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.
STEW-MAP Survey
Section 1: Contact information
Your personal information is confidential. We will not share your name, personal email, personal phone number, or other identifying information with anyone outside of the research team. We may contact you if we have questions about information you provide on this survey.
Your Name:
Your Phone Number: ( _) -
Your E-mail:
Are you a member of a group or organization?
(We define a group as having two or more members. This survey is intended for groups and organizations, not for individuals working alone, as sole proprietors, or as independent contractors.)
Yes ____ No ____
If you are a member of a group with multiple programs, please answer for your entire organization. If you are a respondent from a national organization, please answer for your local chapter. If you answered no, you do not need to complete the rest of the survey. Please mail back the survey. Thank you for your time!
Section 2: Basic Information
If you are not able to answer all of the questions, please reach out to someone else in your group or organization and ask them to fill out the survey.
Group/Organization Name: (required)
Website (if available):
Twitter handle (if available): __________________________________
Mailing Address: (with city/state/zip)
Group/Organization E-mail:
Group/Organization Phone Number: ( ) -
Does your group/organization wish to be on the online stewardship map?
The information associated with your group on the map will be limited to group information and stewardship territory, which will be addressed later in the survey.
Yes
No
Does your group do any of the following in the [name of study area] region? Please select all that apply.
Conserve or preserve the local environment (for example, hold a conservation easement, protect land or water)
Manage or take care of a place in the local environment (for example, a community garden, a block of street trees, an empty lot, a riverbank, a schoolyard, a forest preserve, a brownfield)
Transform local environmental systems (for example, reduce, reuse, recycle, compost, waste stream, sustainable energy)
Monitor the quality of the local environment (for example, monitoring air or water quality, dumping, species monitoring, or citizen science)
Advocate and/or plan for the local environment (for example, community planning, organizing, direct action, fundraising)
Educate the public about the local environment (for example, youth curriculum, adult curriculum, job training)
Participate in, partner with groups, or support other environmental work
Of these functions, what is your primary stewardship activity? (Select one)
Conservation
Management
Transformation
Monitoring
Advocacy
Education
If you selected none of the above, you do not need to complete the rest of the survey. Please mail back the survey. Thank you for your time!
Please choose the most appropriate response.
Public-private
partnership
Nonprofit organizations and community groups
501(c)(3) (or has applied)
501 (c)(4) (or has applied)
Group without 501(c)(3) or 501(c)(4) status (for example, a community garden group or block club)
Community board
School-affiliated group
Religious congregation (church, synagogue, mosque, etc), but not a 501(c)(3)
Government Entities
City/Local government
County government
State government
Federal government
Other government (e.g. NY-NJ Port Authority)
Private Firm
Private firm, for-profit business
Other
Other – please specify:
If you chose government entities or private firm you do not need to complete the rest of the survey. Please mail back the survey. Thank you for your time!
Section 3: Where your group works
—On Wyckoff St. between Court St. and Smith St;
—Lower Manhattan south of Canal St.;
—All of the community gardens in ZIP code 11205
—The Arthur Kill between Staten Island and New Jersey;
—Hudson River waterfront within the City of Yonkers
—The Croton Watershed;
—Bergen County;
—Town of North Hempstead parks
Please choose all that apply.
Watershed / Sewershed
Stream / River / Canal
Waterfront / Beach / Shoreline
Freshwater Wetland
Salt Marsh
Forest/Woodland
Park
Community Garden
Urban farm
Vacant land/Vacant lot
Brownfield
Athletic field
Playground
Dog run / dog park
Botanical Garden/Arboretum
Bike paths / Greenway / Rail-trail
Public Right of Way (sidewalk, street ends, traffic island, public plaza)
Street Tree
Flower box
Residential building grounds (apartment courtyard, back yard, etc.)
Schoolyard / Outdoor classroom
Grounds of public bulding other than school (e.g. city hall, library, hospital, rec center)
Building courtyard / atrium (e.g. privately owned public spaces)
Rooftop
Green Buildings
Residential building grounds (apartment courtyard, back yard, etc.)
School yard or grounds; outdoor classroom
Grounds of public building other than school (e.g. city hall, library, hospital)
Courtyard / Atrium / Plaza
Green buildings
Rooftop
Brownfield property
Recreation center
Other – please specify:
Waste system (e.g., e-waste drop off location)
Sustainable energy system (e.g., solar array, windmill)
Food system (e.g., grocery stores, CSA, compost site)
Storm water management system
None of the above
Of these, which is the primary site type on which you work?
Please select one.
[REPEAT THE LIST]
Please choose one.
City/Local government
County government
State government
Federal government
Other government (e.g. NY-NJ Port Authority)
Individual
Corporation (including joint ventures, real estate investment groups)
Nonprofit
We work across public and private lands
Don't know
Other – please specify:
Section 3: Where your group works
Section Group CharacteristicsGroup Characteristic
Please choose all that apply.
Animal related
Arts, culture, creative practices
Community improvement and capacity building
Crime, criminal justice
Economic development
Education
Emergency management and disaster response
Employment, job related
Energy efficiency
Environment
Faith-based activities
Food
Housing and shelter
Human services (including day care, family services)
International, foreign affairs, and national security
Legal services, civil rights
Power / Electricity generation
Private grantmaking foundation
Public health (including mental health, crisis intervention, health care)
Recreation and sports (including birding and fishing)
Research in science and/or technology
Seniors
Toxics/pollution related
Transportation
Youth
Other — please specify
Please choose one.
[REPEAT THE LIST]
Please select one.
0%
1-19%
20-39%
40-59%
60-79%
80-100%
Note: for national or regional groups/organizations please tell us the approximate year your chapter was founded.
Note: for national groups/organizations please provide regional information.
Full-time Staff:
Part-time Staff: Members: Regular Volunteers:
Note: regular volunteers are those who routinely volunteer in your group/organization's activities. This is different from volunteers who may come out for a single work day.
Hours:
Section 5: Networking
Please tell us about your group/organization's relationship to other groups/organizations. Please list one group/organization per box, additional boxes will appear if you need them.
[On the electronic version of the survey, additional entry slots will continue to appear as the existing ones fill up until the respondent has listed as many organizations as they wish.]
Please list group/organizations that you go to for advice, data, or expertise related to stewardship or environmental issues. You can list as many as you wish.
[On the electronic version of the survey, additional entry slots will continue to appear as the existing ones fill up until the respondent has listed as many organizations as they wish.]
Please list groups/organizations/agencies from which you have gotten funding. You can list as many as you wish.
[On the electronic version of the survey, additional entry slots will continue to appear as the existing ones fill up until the respondent has listed as many organizations as they wish.]
Section
6:
Impacts
What changes does your group want to achieve from its stewardship activities?
Does your group track metrics about your activities? (e.g., number of trees planted, number of schools visited, number of acres conserved, number of volunteers/event)?
Yes
No
I don’t know
If yes, please list all metrics that your group tracks:
Please indicate your level of agreement with the following statements, as they relate to your organization:
Our group has improved the following social outcomes in the community(ies) where we work:
Community Participation
Strongly Disagree Neutral Strongly Agree I don’t know/not applicable
1 2 3 4 5 6 7 ☐
Trust between neighbors
Strongly Disagree Neutral Strongly Agree I don’t know/not applicable
1 2 3 4 5 6 7 ☐
Influence on Policy and Programs
Strongly Disagree Neutral Strongly Agree I don’t know/not applicable
1 2 3 4 5 6 7 ☐
Our group has improved the following environmental outcomes in the community(ies) where we work:
Plants and habitat quality
Strongly Disagree Neutral Strongly Agree I don’t know/not applicable
1 2 3 4 5 6 7 ☐
Air and/or water quality
Strongly Disagree Neutral Strongly Agree I don’t know/not applicable
1 2 3 4 5 6 7 ☐
Land protection
Strongly Disagree Neutral Strongly Agree I don’t know/not applicable
1 2 3 4 5 6 7 ☐
Urban system sustainability (e.g., food systems, waste systems, energy systems)
Strongly Disagree Neutral Strongly Agree I don’t know/not applicable
1 2 3 4 5 6 7 ☐
Section 7: Other Influences
Please tell us how influential the following plans and programs have been on your group’s work. (Note for OMB – these will be completed depending on the particular study area.)
[City plan 1]
Not influential Neutral Highly influential
1 2 3 4 5 6 7
[City plan 2]
Not influential Neutral Highly influential
1 2 3 4 5 6 7
[City plan 3]
Not influential Neutral Highly influential
1 2 3 4 5 6 7
[City plan 4]
Not influential Neutral Highly influential
1 2 3 4 5 6 7
[City plan 5]
Not influential Neutral Highly influential
1 2 3 4 5 6 7
[City plan 6]
Not influential Neutral Highly influential
1 2 3 4 5 6 7
[City plan 7]
Not influential Neutral Highly influential
1 2 3 4 5 6 7
[City plan 8]
Not influential Neutral Highly influential
1 2 3 4 5 6 7
[City plan 9]
Not influential Neutral Highly influential
1 2 3 4 5 6 7
[Other plan, program, or report]
Please name it ________________________
Not influential Neutral Highly influential
1 2 3 4 5 6 7
All plans are not applicable ☐
Please tell us how influential the following events and processes have been on your group’s work.
Extreme weather events
Not influential Neutral Highly influential
1 2 3 4 5 6 7
Climate change
Not influential Neutral Highly influential
1 2 3 4 5 6 7
Financial crises
Not influential Neutral Highly influential
1 2 3 4 5 6 7
Social movements
Not influential Neutral Highly influential
1 2 3 4 5 6 7
Changes in elected officials
Not influential Neutral Highly influential
1 2 3 4 5 6 7
Neighborhood development or rezonings
Not influential Neutral Highly influential
1 2 3 4 5 6 7
Other, please name it ___________________
Not influential Neutral Highly influential
1 2 3 4 5 6 7
All events are not applicable ☐
Section 8: Tell us a bit more about your group
Please select all that apply.
Educational curricula/trainings
Legal resources
Buildings/facilities
Plant materials/equipment
Technical assistance
Labor (volunteers/students/interns)
Grants
Community organizing
Public relations/marketing
Data/ information/ scientific research
Other:
Please select all that apply.
N/A, we don’t share information
National media
Local media
Direct mailing / newsletters
Door-to-door outreach
Flyers / signs
Website
Social media
Listserv
Blog
National conferences/meetings
Regional conferences/meetings
City conferences/meetings
Neighborhood-based conferences/meetings
Radio
TV
Other:
$ ☐ Prefer not to answer
☐ We have no budget
☐ Prefer not to answer
Section 9: Final Section
☐ Please check here if you or another person from your organization is willing to participate in a follow-up interview or focus group related to the STEW-MAP project.
This concludes the STEW-MAP survey.
Thank you for your participation.
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File Modified | 0000-00-00 |
File Created | 2021-11-24 |