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

ICR 202404-2030-001

OMB: 2030-0051

Federal Form Document

Forms and Documents

Document Name	Status
Form 6100-078 Water Technical Assistance Request Form & Needs Assessment Form and Instruction	New
Form 6700-034 Feedback survey for participants of Healthy Homes and ECO Neighborhoods' learning experiences Form	New
Form 6200-030 Brownfields Minimizing Displacement Technical Assistance Participant Satisfaction Survey Form	New
Form 6200-033 Groundwork USA Nonprofit Technical Assistance Grant Satisfaction Surveys Form	New
Form 6200-031 Customer Satisfaction Surveys for Feedback on Technical Assistance to Brownfield Communities Form	New
Form 6200-035 Land Revitalization Technical Assistance program (LRTA) Customer Satisfaction Survey Form	New
Form 5800-095 Feedback Survey: NWEJC Launch Event Form	New
Form 6000-023 Crisfield Resilience Academy Form	New
Form 6000-030 Equitable Resilience Builder Tool Feedback Survey Form	New
Form 6700-032 Cuyahoga County Board of Health Feedback Activity during Health Impact Assessment Training Sessions Form and Instruction	New
Form 6700-031 Climate & Sustainability Event Survey for the GPCOG EJG2G Community Resilience Program Form	New
Form 6700-030 Oʻahu Climate Champions Final Reflection Form and Instruction	New
Form 6700-029 Oʻahu Climate Champions Monthly Reflections Form and Instruction	New
Form 6700-027 Homeowner Perceptions, Barriers, and Intentions to Install a Living Shoreline Survey Form	New
Form 6700-021 Lower Duwamish Waterway Superfund Site ICIAP "Fun to Catch, Toxic to Eat" Programmatic Evaluation Forms Form	New
Form 6700-025 LISS Partnership DEI/EJ Readiness Survey Form	New
Form 5800-091 Customer Satisfaction Surveys for feedback on the EJ TCTACs Form	New
Form 6100-081 Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations Form and Instruction	New
Form 9600-071 Pesticide Safety Education Funds Management Program Customer Satisfaction Survey Form	New
Form 5800-089 Environmental and Climate Justice Community Change Technical Assistance Form	New
Form 6700-012 Gulf of Mexico Division Funding Opportunities Form	New
Form 5800-086 Customer Satisfaction Survey for EPA's Adaptation Resource Center (ARC-X) Form and Instruction	New
Form 6700-011 Impact Analysis Questions for Communities in the Southeast New England Program Network (SNEP) Form	New
Form 5800-0085 ECHO Tools Survey Form	New
Form 9600-036 Train-the-Trainer 6-month Post-Survey – Community Lead Awareness (CLA) Form	New
Form 9600-035 Train-the-Trainer Post-Survey – Community Lead Awareness (CLA) Form	New
Form 9600-034 Understanding Lead Post-Survey – Community Lead Awareness (CLA) Form	New
Form 9600-033 Train-the-Trainer Pre-Survey – Community Lead Awareness (CLA) Form	New
Form 9600-032 Understanding Lead Pre-Survey – Community Lead Awareness (CLA) Form	New
Form 6000-019 NAMs Training Surveys Form	New
Form 5800-081 DSIMB – ICIS Customer Support Training Questions Form	New
Form 6700-010 Greening Urban Neighborhoods from the Ground Up Form	New
Form 6100-090 Campus RainWorks Challenge Survey Form	New
Form 5800-059 Planning with Structured Decision Making/DASEES Form	New
Form 5800-049 Great Lakes AOC Project Area Community Use and Benefits Intercept (Customer Satisfaction) Survey Form	New
Form 5800-047 EPA Water Quality Standards Academy Student Course Evaluation Form	New
Form 5800-043 Evaluations for the National Tanks Conference and Expo Form	New
Form 9600-070 EPA Certification Plan and Reporting Database Users Survey Form	New
Form 5800-041 Customer Satisfaction Survey for State Government Officials on ORD Research Area Coordination Teams Form	New
Form 5800-011 Science Matters Newsletter Customer Satisfaction Survey Form	New
Form 5800-010 DSIMB Helpdesk Survey Form	New
Form 5800-003 EPA Docket Center Customer Satisfaction Survey Form	New
Form 5800-038 eGRID User Satisfaction Survey Form	New
Form 5800-037 ECHO Training Questions Form	New
Form 5800-024 Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA Form	New
Form 5800-017 Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey Form	New
2434ssb204.docx Supporting Statement B	2024-06-27
2434ssa204.docx Supporting Statement A	2024-06-27
Qualitative Feedback IC Request Template (2434.204).docx Supplementary Document	2024-06-27

IC Document Collections

IC ID	Document Title	Status
269091	Water Technical Assistance Request Form & Needs Assessment Form and Instruction	New
269039	Focus Groups for Development new EPA Label Program for Low Embodied Carbon Construction Materials & Products Instruction	New
268171	Pipe Up Campaign Phase 3: Campaign Message Testing Other-Intro Page	New
268170	Feedback survey for participants of Healthy Homes and ECO Neighborhoods' learning experiences Form	New
268167	Brownfields Minimizing Displacement Technical Assistance Participant Satisfaction Survey Form	New
268166	Groundwork USA Nonprofit Technical Assistance Grant Satisfaction Surveys Form	New
268164	Customer Satisfaction Surveys for Feedback on Technical Assistance to Brownfield Communities Form	New
268163	Land Revitalization Technical Assistance program (LRTA) Customer Satisfaction Survey Form	New
268162	Feedback Survey: NWEJC Launch Event Form	New
268161	Crisfield Resilience Academy Form	New
268159	Equitable Resilience Builder Tool Feedback Survey Form	New
268129	Cuyahoga County Board of Health Feedback Activity during Health Impact Assessment Training Sessions Form and Instruction	New
268128	Climate & Sustainability Event Survey for the GPCOG EJG2G Community Resilience Program Form	New
268127	Oʻahu Climate Champions Final Reflection Form and Instruction	New
268126	Oʻahu Climate Champions Monthly Reflections Form and Instruction	New
268123	Channelview ISD Teacher discussion to identify project priorities and needs for the 2024-25 school year Instruction	New
268122	Homeowner Perceptions, Barriers, and Intentions to Install a Living Shoreline Interview Instruction	New
268120	Homeowner Perceptions, Barriers, and Intentions to Install a Living Shoreline Survey Form	New
268119	Lower Duwamish Waterway Superfund Site ICIAP "Fun to Catch, Toxic to Eat" Programmatic Evaluation Forms Form	New
268118	LISS Partnership DEI/EJ Readiness Survey Form	New
268115	Customer Satisfaction Surveys for feedback on the EJ TCTACs Form	New
268112	Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations Form and Instruction	New
268110	Pesticide Safety Education Funds Management Program Customer Satisfaction Survey Form	New
268107	Environmental and Climate Justice Community Change Technical Assistance Form	New
268106	Gulf of Mexico Division Funding Opportunities Form	New
268105	Customer Satisfaction Survey for EPA's Adaptation Resource Center (ARC-X) Form and Instruction	New
268104	Impact Analysis Questions for Communities in the Southeast New England Program Network (SNEP) Form	New
268103	ECHO Tools Survey Form	New
268102	Focus groups for feedback on the EJ TCTACs Other-Focus Group Topic Guide	New
268101	Train-the-Trainer 6-month Post-Survey – Community Lead Awareness (CLA) Form	New
268100	Train-the-Trainer Post-Survey – Community Lead Awareness (CLA) Form	New
268099	Understanding Lead Post-Survey – Community Lead Awareness (CLA) Form	New
268098	Train-the-Trainer Pre-Survey – Community Lead Awareness (CLA) Form	New
268097	Understanding Lead Pre-Survey – Community Lead Awareness (CLA) Form	New
268096	NAMs Training Surveys Form	New
268094	DSIMB – ICIS Customer Support Training Questions Form	New
268093	Greening Urban Neighborhoods from the Ground Up Form	New
268092	Campus RainWorks Challenge Survey Form	New
268091	Planning with Structured Decision Making/DASEES Form	New
268090	Great Lakes AOC Project Area Community Use and Benefits Intercept (Customer Satisfaction) Survey Form	New
268089	EPA Water Quality Standards Academy Student Course Evaluation Form	New
268088	Evaluations for the National Tanks Conference and Expo Form	New
268087	EPA Certification Plan and Reporting Database Users Survey Form	New
268086	Customer Satisfaction Survey for State Government Officials on ORD Research Area Coordination Teams Form	New
268085	Science Matters Newsletter Customer Satisfaction Survey Form	New
268084	DSIMB Helpdesk Survey Form	New
268083	EPA Docket Center Customer Satisfaction Survey Form	New
268082	eGRID User Satisfaction Survey Form	New
268081	ECHO Training Questions Form	New
268080	Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA Form	New
268079	Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey Form	New