TITLE OF INFORMATION COLLECTION: 2016 National Training Conference on the Toxics Release Inventory and Environmental Conditions in Communities
PURPOSE: This National Training Conference is the main public outreach and training event for EPA’s flagship community right-to-know regulatory program, the Toxics Release Inventory (TRI). This conference provides opportunities to discuss issues related to the TRI Program and fosters the exchange of information between Headquarters, Regions, States, Tribes, industry, community groups, researchers, and non-governmental organizations. Evaluations of the conference are used to evaluate it effectiveness and seek input for future conferences.
DESCRIPTION OF RESPONDENTS:
The respondents for the conference consists of conference attendees from federal, state, local, and tribal government agencies, academia, non-profit organizations, industry, technical and legal consulting firms, and international organizations.
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:
The collection is voluntary.
The collection is low-burden for respondents and low-cost for the Federal Government.
The collection is non-controversial and does not raise issues of concern to other federal agencies.
The results are not intended to be disseminated to the public.
Information gathered will not be used for the purpose of substantially informing influential policy decisions.
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:_______Guy Tomassoni 10/4/16____________________________
To assist review, please provide answers to the following question:
Personally Identifiable Information:
Is personally identifiable information (PII) collected? [ ] Yes [x] No
If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No
If Applicable, has a System or Records Notice been published? [ ] Yes [x] No
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 |
All conference attendees comprised of all categories filling out the overall evaluation |
60 (20% of total conference attendees) |
15 minutes per evaluation |
900 mins. or 15 hrs |
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Totals |
60 |
15 minutes per |
15 HOURS |
FEDERAL COST: Estimated at $1,836.80 to evaluate information collected. Based on:
20 hours (to evaluate results) x $57.40 (assuming GS13, Step 10) = $1,148
plus $688.80 (60% for overhead of total $1,148) = $1,836.80
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
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? [ ] Yes [ x] 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?
There will be approximately 300 conference attendees. All attendees will be emailed a link to the overall conference evaluation to fill out and submit electronically. We anticipate about a 20% response rate for both the overall conference evaluation. We will not be asking for participants to fill out evaluations for specific general or breakout sessions.
Administration of the Instrument
How will you collect the information? (Check all that apply)
[ X] Web-based or other forms of Social Media
[ ] Telephone
[ ] In-person
[ ] Other, Explain (see above)
Will interviewers or facilitators be used? [ ] Yes [X] No
Please make sure that all instruments, instructions, and scripts are submitted with the request.
TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the subject of the request. (e.g. Comment card for soliciting feedback on xxxx)
PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If this is part of a larger study or effort, please include this in your explanation.
DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or groups for this collection of information. These groups must have experience with the program.
TYPE OF COLLECTION: Check one box. If you are requesting approval of other instruments under the generic, you must complete a form for each instrument.
CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the collection will be returned as improperly submitted or it will be disapproved.
Personally Identifiable Information: Provide answers to the questions.
Gifts or Payments: If you answer yes to the question, please describe the incentive and provide a justification for the amount.
BURDEN HOURS:
Category of Respondents: Identify who you expect the respondents to be in terms of the following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal governments; or (4) Federal Government. Only one type of respondent can be selected.
No. of Respondents: Provide an estimate of the Number of respondents.
Participation Time: Provide an estimate of the amount of time required for a respondent to participate (e.g. fill out a survey or participate in a focus group)
Burden: Provide the Annual burden hours: Multiply the Number of responses and the participation time and divide by 60.
FEDERAL COST: Provide an estimate of the annual cost to the Federal government.
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. Please provide a description of how you plan to identify your potential group of respondents and how you will select them. If the answer is yes, to the first question, you may provide the sampling plan in an attachment.
Administration of the Instrument: Identify how the information will be collected. More than one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or facilitators (e.g., for focus groups) used.
Please make sure that all instruments, instructions, and scripts are submitted with the request.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | DOCUMENTATION FOR THE GENERIC CLEARANCE |
Author | 558022 |
File Modified | 0000-00-00 |
File Created | 2021-01-23 |