Form 6700-011 Impact Analysis Questions for Communities

OMB Control No.: 2030-0051

Expiration Date: 05/31/2024

Burden Statement

“This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2030-0051) Responses to this collection of information are voluntary. 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 range from 45 to 60 minutes 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.”

Impact Analysis Questions for Communities

Start of Block: Community Characteristics (filled in ahead of time and verified in post)

Q1 Community name (pre-filled by GA)

________________________________________________________________

Q2 Community size (pre-filled by GA)

• Pop Cat 1 (TBD) (1)

• Pop Cat 2 (TBD) (2)

• Pop Cat 3 (TBD) (3)

Q3 State

• RI (1)

• MA (2)

Q4 Poverty rate under federal poverty level (pre-filled by GA)

• Yes (1)

• No (2)

Q5 Linguistic isolation / language demographics (pre-filled by GA)

________________________________________________________________

Q6 For interviewer- select project types (pre-filled by GA)

• Pilot Project (1)

• Financing Project (2)

• Bylaw review (3)

• LID, Open Space Planning, or specific work on a GI ordinance (4)

• Stormwater planning (5)

• Field assessments and engineering review (6)

• Ecological restoration (7)

• Climate resilience (8)

Q7 Describe EJ concerns (pre-filled by GA)

________________________________________________________________

Q8 Placeholder for additional community attributes (filled in by GA)

• Click to write Choice 1 (1)

• Click to write Choice 2 (2)

• Click to write Choice 3 (3)

Page Break

Q9 Introductory script: Hello, my name is __. Thank you for agreeing to speak about your experience with the SNEP Network. This phone interview is intended to help us understand how we can improve our technical assistance and our effectiveness building community capacity to address stormwater, watershed management, and climate resilience challenges. We anticipate that this interview will take 15 minutes or less, depending on your appetite for discussion and time limitations. I will read questions out loud and list out multiple response options. If possible, we would like to record this call to ensure we capture all your feedback. May I proceed? 

Q10 Please briefly describe your project and the assistance you received from the SNEP Network. What were the primary challenges and needs you hoped to address by working with the SNEP Network?

________________________________________________________________

Q11 How many staff hours would you estimate that you spent on the project? 

• input number, round to 0.5 (1) __________________________________________________

Q12 To what extent do you agree or disagree with the following statement: Assistance from the SNEP network increased my community's ability to address stormwater or watershed management challenges. 

• Strongly agree (1)

• Somewhat agree (2)

• Neither agree nor disagree (3)

• Somewhat disagree (4)

• Strongly disagree (5)

Q13 To what extent do you agree or disagree with the following statement: Assistance from the network is prompting further action in our community to advance respective community goals
 

• Strongly agree (1)

• Somewhat agree (2)

• Neither agree nor disagree (3)

• Somewhat disagree (4)

• Strongly disagree (5)

Display This Question:

If Q13 = Strongly agree

Or Q13 = Somewhat agree

Q14 What action or actions is your community planning to take as a result of your SNEP Network assistance? 

________________________________________________________________

Q15 To what extent do you agree or disagree with the following statement: Working with the SNEP Network expanded our partnerships and organizational connections. 

• Strongly agree (1)

• Somewhat agree (2)

• Neither agree nor disagree (3)

• Somewhat disagree (4)

• Strongly disagree (5)

Display This Question:

If Q15 = Strongly agree

And Q15 = Somewhat agree

Q16 What sorts of resources were leveraged by collaborating with other organizations? 

________________________________________________________________

Q17 To what extent you do you agree or disagree with the following statement: Working with the SNEP Network increased our access to financing and funding mechanisms.

• Strongly agree (1)

• Somewhat agree (2)

• Neither agree nor disagree (3)

• Somewhat disagree (4)

• Strongly disagree (5)

Display This Question:

If Q17 = Strongly agree

Or Q17 = Somewhat agree

Q18 How did Network support increase your access to financing and funding mechanisms?

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Display This Question:

If Q6 = Bylaw review

Q19 For Bylaw review only: Have you completed a bylaw review as a result of your SNEP Network work? 

• Yes (1)

• No (2)

Display This Question:

If Q19 = No

Q20 If no, are you planning on completing a bylaw review. 

• Click to write Choice 1 (1)

• Click to write Choice 2 (2)

• Click to write Choice 3 (3)

Q21 To what extent you do you agree or disagree with the following statement: I would recommend working with the SNEP Network to another organization or community.

• Strongly agree (1)

• Somewhat agree (2)

• Neither agree nor disagree (3)

• Somewhat disagree (4)

• Strongly disagree (5)

Q22 As a result of working with the SNEP Network, do you have a shovel-ready project ready for implementation?

• We have a shovel-ready project and have secured funding (1)

• We have a shovel-read project and will be seeking funding (2)

• We have a project that is ready for preliminary design (3)

• We have a project idea that needs further development (4)

• We do not have a clear sense of the next steps for our project (5)

Display This Question:

If Q6 = LID, Open Space Planning, or specific work on a GI ordinance

Q23 (For Low Impact Development-related projects only) As a result of working with the SNEP Network, do you anticipate adopting or have you adopted a low impact development, conservation development, open space, or green infrastructure ordinance?

• Yes (1)

• No (2)

• We anticipate adopting an LID, Conservation Development, Open Space, or GI ordinance (3)

Display This Question:

If Q23 = Yes

Q24 If yes, how will this change your site planning and design projects? 

________________________________________________________________

Q25
As a result of working with the SNEP Network, were there any materials, documents, reports, etc. produced during the project? If so, did you share these materials with other communities?

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Q26 Please share any additional feedback and insight on how we can improve. 

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

End of Block: Community Characteristics (filled in ahead of time and verified in post)

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EPA Form: 6700-011