Information Collection

Science Matters Newsletter Customer Satisfaction Survey

IC 268085 under ICR 202404-2030-001 · OMB 2030-0051.

Documents and Forms

Document Name Document Type
Form 5800-011 Science Matters Newsletter Customer Satisfaction Survey Form
5800-011 Science Matters Survey Science Matters Survey.docx Form
5800-011 Science Matters Survey Science Matters Survey.docx Form
Justification_Science Matters Survey.docx Justification IC Document
Justification_Science Matters Survey.docx Justification IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Science Matters Newsletter Customer Satisfaction Survey	Agency IC Tracking Number:	2434.239

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5800-011	Science Matters Survey	Science Matters Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	1,667	1,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	Justification_Science Matters Survey.docx	05/30/2024

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