EPA ICR No. 1711.12
OMB Control No. 2090-0019
Approval expires 10/13/2012
Conference Evaluation Form
22nd National Tanks Conference and Expo
Boston, Massachusetts September 20 – 22, 2010
To make the next conference even better, we need your evaluation of this year’s conference. Please check the answer that best reflects your response to the question.
Overall, how satisfied were you that the conference provided: |
Does Not Apply |
Very Satisfied |
Satisfied |
Neither Satisfied or Dissatisfied |
Dissatisfied |
Very Dissatisfied |
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Overall, how satisfied were you that the Exposition provided: |
Does Not Apply |
Very Satisfied |
Satisfied |
Neither Satisfied or Dissatisfied |
Dissatisfied |
Very Dissatisfied |
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Overall, how satisfied were you with the: |
Does Not Apply |
Very Satisfied |
Satisfied |
Neither Satisfied or Dissatisfied |
Dissatisfied |
Very Dissatisfied |
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Overall, how satisfied were you with the: |
Does Not Apply |
Very Satisfied |
Satisfied |
Neither Satisfied or Dissatisfied |
Dissatisfied |
Very Dissatisfied |
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Comments/Suggestions:
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Please check all that apply to you:
□ State Agency □ UST Program □ Manager □ Educational Organization □ Tribal Agency
□ LUST Program □ Non-manager □ Trade/Industry □ Federal Agency □ Fund Program
□ Other: ___________________
Thank you for taking the time to answer these questions. Please drop your completed form in the evaluation boxes at the conference. Or, you may email,
fax, or mail your completed form to:
Julie A. Beasley Fax: (703) 603-0175
US Environmental Protection Agency Phone: (703) 603-7169
1200 Pennsylvania Avenue, NW (5403P) Email: beasley.julie@epa.gov
Washington, DC 20460-0001
Burden Statement: Public reporting burden for this collection of information is estimated to average five (5) minutes per response, including the time for reviewing instructions and completing and reviewing the collection of information. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggestions for reducing the burden, including the use of automated collection techniques to the Director, OEI Collection Strategies Division, United States Environmental Protection Agency (Mail Code 2822T), 1200 Pennsylvania Avenue, Washington, DC 20460; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street NW, Washington, DC 20503, Attention: Desk Officer for EPA. Include the EPA ICR number (1711.12) and the OMB control number (2090-0019) in any correspondence.
File Type | application/msword |
Last Modified By | Spencer W. Clark |
File Modified | 2010-07-29 |
File Created | 2010-07-29 |