2434ss48 TRI-ME Justification

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2010-0042)

TITLE OF INFORMATION COLLECTION: TRI-MEweb Customer Survey (Toxic Release Inventory – Made Easy Web)

PURPOSE:

The Office of Environmental Information Toxic Release Inventory Program (OEI/TRI) will use the survey to collect feedback from reporting facilities regarding their experience using the TRI-MEweb application.

DESCRIPTION OF RESPONDENTS:

OEI/TRI estimates that approximately 2,000 facilities will use TRI-MEweb in May of 2016 to report Toxic Release Inventory. It is anticipated that approximately 8% (or 320) of the individuals who are listed as preparers and certifiers for those facilities will opt to respond to the survey.

TYPE OF COLLECTION: (Check one)

[ ] Customer Comment Card/Complaint Form [X] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software) [ ] Small Discussion Group

[ ] Focus Group [ ] Other: ______________________

CERTIFICATION:

I certify the following to be true:

1. The collection is voluntary.

2. The collection is low-burden for respondents and low-cost for the Federal Government.

3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

4. The results are not intended to be disseminated to the public.

5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.

Name : Dipti Singh, Supervisory Program Analyst, singh.dipti@epa.gov

Toxic Release Inventory Program, Office of Environmental Information

To assist review, please provide answers to the following question:

Personally Identifiable Information:

1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

2. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

3. If Applicable, has a System or Records Notice been published? [ ] Yes [ ] No NA

Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No

BURDEN HOURS

Category of Respondent	No. of Respondents	Participation Time	Burden Hours
Private Sector TRIMEweb Preparers & Certifiers	.08*2*2000 = 320 Eight percent (.08) of the preparers & certifiers (2) for the 2,000 reporting facilities.	6 minutes each for a total of 1,920 minutes	32 hours
Totals	320 respondents	1,920 minutes	32 hours

FEDERAL COST: The estimated annual cost to the Federal government is 20 hours at a $ technical rate for a total of $115, total cost = $2,300

If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:

The selection of your targeted respondents

1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ X ] Yes [ ] No

If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?

Description: Users who are assigned the role of Preparer or Certifier in the TRIMEweb Application and elect to use the system during May 1 through May 31, 2016, will be given an opportunity to participate in the online survey process. Users will also be given an “opt” out option.

Administration of the Instrument

1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

2. Will interviewers or facilitators be used? [ ] Yes [X] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.

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