Form 6000-021 EPA/ORD Research Product Evaluation Form

OMB Control No. 2080-0085

Expiration Date - 8/31/2023

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq.OMB Control No. 2080-0085. Responses to this collection of information are voluntary (5 CFR 1320.5; 40 CFR 9; 40 CFR 48). 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. The public reporting and recordkeeping burden for this collection of information is estimated to .25 hours (per year) per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

EPA/ORD Research Product Evaluation Form

About You

Your contact information

First Name: _________________________________________________

Last Name: _________________________________________________

Title: _________________________________________________

Organization Name: _________________________________________________

Email Address: _________________________________________________

What product are you reviewing with this survey?

You can find the title of the product in the survey request email that was distributed to you

_________________________________________________

Product Use

How would you rate your familiarity with this product?

( ) Very Unfamiliar ( ) Unfamiliar ( ) Neutral ( ) Familiar ( ) Very Familiar

[If the respondent rated their familiarity at “Very Unfamiliar” or “Unfamiliar” Why do you feel you are unfamiliar with this product?

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How did you or your office use (or expect to use) this product?

Select all that apply and add any additional uses of this product that apply

	Have used in the past for:	Expect to use in the future for:	Do NOT expect to use for this purpose:
Regulatory decision-making	[ ]	[ ]	[ ]
Site-specific (such as Superfund) decision-making	[ ]	[ ]	[ ]
Providing guidance or support to other Programs, Regions, or non-EPA partners	[ ]	[ ]	[ ]
Preparedness exercises	[ ]	[ ]	[ ]
Provides relevant scientific information	[ ]	[ ]	[ ]
Other (please describe)	[ ]	[ ]	[ ]

Please describe in your own words how you have used or expect to use this product. Please provide a web link to a reference or example use of the product if available.

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Product-Specific Questions

In this section, we will ask you to react to a number of statements on your experience using this product. Please rate each statement from Strongly Disagree to Strongly Agree

1) Overall, I am satisfied with this product.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

2) The data, methods, and results in this product are documented in a transparent way.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

3) The data, methods, and results of this product are accurate and scientifically sound.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

4) This product is in the proper format (i.e. EPA report, journal article, online toolkit) for me (or my office) to make use of it most effectively.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

5) The product is designed or presented in a way that is user-friendly for me.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

6) I can easily access the product when I need it.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

7) I was able to easily access any underlying data and/or documentation for this product necessary to fully understand and make use of it.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

8) This product was accompanied by necessary summaries, manuals, technical documentation, etc. for me to readily understand and make use of it.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

9) I know who in ORD to reach out to with any questions, clarifications, or concerns regarding this product.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

10) I received the necessary support from ORD to effectively make use of the product.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

11) The product has informed my or my office’s decisions or actions.

( ) Strongly Disagree ( ) Disagree ( ) Neutral ( ) Agree ( ) Strongly Agree ( ) Not applicable/Don't know

12) Which of the following best describes the timeliness of your receipt of this product?

( ) I had no specific expectation or requirement for when I needed this product

( ) I had a deadline for which I needed this product and that deadline was met

( ) I had a deadline for which I needed this product and that deadline was NOT met

( ) Other - Write In (Required): _________________________________________________

13) If you have any additional comments regarding the scientific quality of this product, please add them here

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14) If you have any additional comments regarding the usability of this product for you, please add them here.

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15) If you have any additional comments regarding the timeliness of this product's development and delivery, please add them here.

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Your Relationship with ORD

16) Did you or your office request this product from ORD?

( ) Yes

( ) No

( ) Not for this product specifically, but for we have requested work in this topic area

( ) I don't know

( ) Other - Write In (Required): _________________________________________________

17) How were you or your office engaged in the planning and development of this product?

Select all that apply

[ ] I/We were involved in strategic research planning of this topic area.

[ ] I/We requested this product from ORD.

[ ] I/We have worked with ORD on related research but not this specific product.

[ ] I/We helped conceptualize this product.

[ ] I/We were involved in the design or execution of the research.

[ ] I/We received regular updates on the status of the research.

[ ] I/We provided feedback on preliminary findings or drafts of the product.

[ ] I/We co-authored this product.

[ ] I/We were not involved in the planning or development of this product.

[ ] Don't know/Don't remember

18) How involved were you or your office in the development of this product?

( ) Not at all involved ( ) Somewhat involved ( ) Moderately involved ( ) Very involved ( ) I don't know

19) How satisfied are your level of involvement in the development of this product?

( ) I am satisfied with my level of involvement

( ) I would like to have been more involved but didn’t have the time

( ) I would like to have been more involved but was not aware of the opportunity to participate

( ) I would like to have been more involved but was not sure how I could best contribute

( ) Not applicable

( ) Other - Write In: _________________________________________________

20) If you have any additional comments regarding your engagement with ORD regarding this product, please add them here.

____________________________________________________________________________________________________________________________________________________________

21) How did you become aware of or acquire this product?

( ) I received it from a contact in ORD

( ) I received it from a non-ORD colleague

( ) I learned about it through an EPA forum or community of practice

( ) I learned about it through an ORD newsletter

( ) I learned about it through an ORD meeting or webinar

( ) I learned about it at an academic or professional conference

( ) I found it independently through the public internet

( ) I found it independently through the EPA Intranet

( ) I received it for the first time with this survey

( ) I don't remember

( ) Other - Write In: _________________________________________________

22) How satisfied are you with the delivery and communication of this product?

( ) Very Dissatisfied ( ) Dissatisfied ( ) Neutral ( ) Satisfied ( ) Very Satisfied

23) How satisfied are you with the ORD's training about how to use this product?

( ) Very Dissatisfied ( ) Dissatisfied ( ) Neutral ( ) Satisfied ( ) Very Satisfied ( ) Not applicable

24) If you have any additional comments regarding ORD's communication and delivery of this product, please add them here.

____________________________________________________________________________________________________________________________________________________________

25) In general, how satisfied are you with the scientific quality of ORD's research products?

( ) Very Dissatisfied ( ) Dissatisfied ( ) Neutral ( ) Satisfied ( ) Very Satisfied

26) In general, how satisfied are you with the usability of ORD's research products?

( ) Very Dissatisfied ( ) Dissatisfied ( ) Neutral ( ) Satisfied ( ) Very Satisfied

27) Are you aware of any other individuals or offices who may be using this product? If so, please list them here.

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28) Are there other individuals, offices, or groups who you think could benefit from using this product? If so, please list them here.

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29) If you have any additional comments regarding this product, this survey, or how ORD can better support your work in general, please add them here.

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Thank You!

EPA Form No. 6000-021