Information Collection

Evaluating End User Satisfaction with EPA's Research Products

IC 241116 under ICR 202308-2080-001 · OMB 2080-0085.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6000-021 Evaluating End User Satisfaction with EPA's Research Products	Form
6000-021 EPA/ORD Research Product Evaluation Form EPA ORD Research Product Evaluation Form .docx epa.gov1.qualtrics.com/jfe/form/SV_cuu5HtHjZ03NBFY	Form
6000-021 EPA/ORD Research Product Evaluation Form EPA ORD Research Product Evaluation Form .docx epa.gov1.qualtrics.com/jfe/form/SV_cuu5HtHjZ03NBFY	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.5 40 CFR 9 40 CFR 48

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6000-021	EPA/ORD Research Product Evaluation Form	EPA ORD Research Product Evaluation Form .docx	https://epa.gov1.qualtrics.com/jfe/form/SV_cuu5HtHjZ03NBFY	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 270

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	270	20	250
Annual IC Time Burden (Hours)	68	-15	83
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.