OMB control number

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

OMB 2010-0042 · EPA/OP.

OMB 2010-0042

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

The latest form for Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal) expires 2021-03-31 and is listed under ICR 201711-2010-001.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 5800-050 Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey	Form
Form 5800-050 Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey	Form
Form 5800-049 Site User Satisfaction Survey	Form
Form 5800-049 Great Lakes AOC Project Area Community Use and Benefits Site User Satisfaction Survey	Form
Form 5800-048 e-Manifest Electronic Manifest Questionnaire	Form
Form 5800-048 e-Manifest Electronic Manifest Questionnaire	Form
Form 5800-047 Water Quality Standards Academy Evaluation Form	Form
Form 5800-047 EPA Water Quality Standards Academy Student Course Evaluation	Form
Form 5800-046 2021 TRI Website Satisfaction Survey	Form
Form 5800-046 Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey	Form
Form 5800-045 RY 2020 TRI-MEweb Application User Survey	Form
Form 5800-045 TRI-MEweb Customer Survey (Toxic Release Inventory – Made Easy Web)	Form
Form 5800-044 Conference Evaluation Form 27th National Tanks Conference and Expo	Form
Form 5800-043 Individual Session Evaluation Form 27th National Tanks Conference and Expo	Form
Form 5800-043 Evaluation Forms for the National Tanks Conference and Expo	Form
Form 2010-0042 Survey of Certification Plan and Reporting Database Users – Evaluating User Access	Form
Form 2010-0042 Survey of Certification Plan and Reporting Database Users – Evaluating User Access	Form
Form 5800-042 EPA's Small Drinking Water Systems Webinar Series Survey	Form
Form 5800-042 Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction	Form
Form 5800-041 ORD State Engagement Feedback Survey	Form
Form 5800-041 Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process	Form
Form 5800-011 Science Matters Survey	Form
Form 5800-011 Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey	Form
Form 5800-010 Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR)	Form
Form 5800-010 Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR)	Form
Form 5800-040 HEALTHIER SCHOOL ENVIRONMENTS WORKSHOP CUSTOMER SATISFACTION SURVEY	Form
Form 5800-040 Customer Satisfaction Survey for Healthier School Environments Workshops	Form
Form 5800-039 Guest Speaker Survey	Form
Form 5800-039 Guest Speaker Survey	Form
Form 5800-14 Discussion Guide	Form and Instruction
Form 5800-015 Final Screener	Form and Instruction
Form 5800-015 Pretesting Outreach and Web Materials for Fish Consumption Advisories	Form and Instruction
Form 5800-013 Los Angeles Public Library Patron Air Sensor Loan Survey	Form
Form 5800-013 Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Patron Air Sensor Use Component	Form
Form 5800-003 Customer Service Survey	Form
Form 5800-003 EPA Docket Center Customer Satisfaction Survey	Form
Form 5800-007 EnviroAtlas Survey	Form
Form 5800-007 EnviroAtlas Survey	Form
Form 5800-016 EJScreen 2022 Impact Survey	Form
Form 5800-016 EJScreen 2022 Impact Survey	Form
Form 5800-038 eGRID User Satisfaction Survey	Form
Form 5800-038 eGRID Customer Satisfaction Survey	Form
Form 5800-037 ECHO Post Training Survey Questions	Form
Form 5800-037 ECHO Post Training Survey Questions	Form
Form 5800-036 Training Evaluation Survey	Form
Form 5800-035 Meeting Facilitation Questionnaire	Form
Form 5800-034 Long Term Group Facilitation Participant Questionnaire	Form
Form 5800-033 Follow-up Effects Survey Participant Judicial Proceeding	Form
Form 5800-032 Follow-up Effects Survey Participant Agency Decision	Form
Form 5800-031 Follow-up Effects Survey Participant Administrative Proceeding	Form
Form 5800-030 Follow-up Effects Survey Case Lead Judicial Proceeding	Form
Form 5800-029 Follow-up Effects Survey Case Lead Agency Decision	Form
Form 5800-028 Follow-up Effects Survey Case Lead Administrative Proceeding	Form
Form 5800-027 Facilitated Dialogue Participant Questionnaire	Form
Form 5800-026 Agreement Seeking Participant Judicial Proceeding Evaluation Survey	Form
Form 5800-025 Agreement Seeking Participant Agency Decision Evaluation Survey	Form
Form 5800-024 Agreement Seeking Participant Administrative Proceeding Evaluation Survey	Form
Form 5800-023 Agreement Seeking Case Lead Judicial Proceeding Evaluation Survey	Form
Form 5800-022 Agreement Seeking Case Lead Agency Decision Evaluation Survey	Form
Form 5800-020 Agreement Seeking Case Lead Administrative Proceeding Evaluation Survey	Form
Form 5800-020 Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Form 5800-0012 Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10	Form
Form 5800-0012 Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10	Form
Form 6200-021 America Recycles 2020 Event Survey & Pledge Signer Input	Form
Form 6200-021 Customer Satisfaction Survey for the America Recycles Events	Form
Form 5800-020 EPA Tools & Resources Webinar Series and EPA Science Training Webinars Evaluation Form	Form and Instruction
Form 5800-020 Office of Research & Development's EPA Tools & Resources Webinar Series and EPA Science Training Webinars - Attendee Satisfaction Survey	Form and Instruction
Form 5800-019 CDX Help Desk Survey	Form and Instruction
Form 5800-019 Central Data Exchange (CDX) Help Desk Survey	Form and Instruction
Form 5800-018 CDX Customer Satisfaction with Program Services	Form and Instruction
Form 5800-018 Central Data Exchange (CDX) Customer Satisfaction Survey	Form and Instruction
Form 5800-017 User Survey	Form
Form 5800-017 Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey	Form
Instructions & Template for Generic Customer Service Collection Request.docx	Supplementary Document
2434ss99.docx	Supporting Statement A
2434ss99.docx	Supporting Statement B
Survey Soliciting Input for Vision 2032 Plan	Other-Survey Questions
Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey	Form
Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey	Form
Great Lakes AOC Project Area Community Use and Benefits Site User Satisfaction Survey	Form
Great Lakes AOC Project Area Community Use and Benefits Site User Satisfaction Survey	Form
e-Manifest Electronic Manifest Questionnaire	Form
e-Manifest Electronic Manifest Questionnaire	Form
EPA Water Quality Standards Academy Student Course Evaluation	Form
EPA Water Quality Standards Academy Student Course Evaluation	Form
Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey	Form
Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey	Form
TRI-MEweb Customer Survey (Toxic Release Inventory – Made Easy Web)	Form
TRI-MEweb Customer Survey (Toxic Release Inventory – Made Easy Web)	Form
Evaluation Forms for the National Tanks Conference and Expo	Form
Evaluation Forms for the National Tanks Conference and Expo	Form
Evaluation Forms for the National Tanks Conference and Expo	Form
Survey of Certification Plan and Reporting Database Users – Evaluating User Access	Form
Survey of Certification Plan and Reporting Database Users – Evaluating User Access	Form
Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction	Form
Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction	Form
Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process	Form
Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process	Form
Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey	Form
Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey	Form
Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR)	Form
Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR)	Form
Customer Satisfaction Survey for Healthier School Environments Workshops	Form
Customer Satisfaction Survey for Healthier School Environments Workshops	Form
Guest Speaker Survey	Form
Guest Speaker Survey	Form
Pretesting Outreach and Web Materials for Fish Consumption Advisories	Form and Instruction
Pretesting Outreach and Web Materials for Fish Consumption Advisories	Form and Instruction
Pretesting Outreach and Web Materials for Fish Consumption Advisories	Form and Instruction
Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Patron Air Sensor Use Component	Form
Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Patron Air Sensor Use Component	Form
EPA Docket Center Customer Satisfaction Survey	Form
EPA Docket Center Customer Satisfaction Survey	Form
EnviroAtlas Survey	Form
EnviroAtlas Survey	Form
EJScreen 2022 Impact Survey	Form
EJScreen 2022 Impact Survey	Form
eGRID Customer Satisfaction Survey	Form
eGRID Customer Satisfaction Survey	Form
ECHO Post Training Survey Questions	Form
ECHO Post Training Survey Questions	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA	Form
Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10	Form
Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10	Form
Customer Satisfaction Survey for the America Recycles Events	Form
Customer Satisfaction Survey for the America Recycles Events	Form
Office of Research & Development's EPA Tools & Resources Webinar Series and EPA Science Training Webinars - Attendee Satisfaction Survey	Form and Instruction
Office of Research & Development's EPA Tools & Resources Webinar Series and EPA Science Training Webinars - Attendee Satisfaction Survey	Form and Instruction
Central Data Exchange (CDX) Help Desk Survey	Form and Instruction
Central Data Exchange (CDX) Help Desk Survey	Form and Instruction
Central Data Exchange (CDX) Customer Satisfaction Survey	Form and Instruction
Central Data Exchange (CDX) Customer Satisfaction Survey	Form and Instruction
Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey	Form
Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202012-2010-001	Extension without change of a currently approved collection	2021-03-31	Approved without change
201711-2010-001	Extension without change of a currently approved collection	2017-11-30	Approved with change
201604-2010-001	No material or nonsubstantive change to a currently approved collection	2016-05-04	Approved without change
201506-2010-001	No material or nonsubstantive change to a currently approved collection	2015-06-15	Approved without change
201408-2010-001	Extension without change of a currently approved collection	2014-08-05	Approved without change
201106-2010-002	New collection (Request for a new OMB Control Number)	2011-06-09	Approved with change

OMB Details

CDX Customer Satisfaction Survey

Federal Enterprise Architecture: Environmental Management - Environmental Monitoring and Forecasting