5800-043 Individual Session Evaluation Form 27th National Tanks C

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

ICR Tanks Indiv Survey

OMB: 2010-0042

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OMB Control No. 2010-0042

Approval Expires 3/31/2021

Individual Session Evaluation Form

27th National Tanks Conference and Expo

Pittsburgh, PA September 21-23, 2021


Burden Statement: This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2010-0042). Responses to this collection of information are voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to one minute per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.




SESSION: _____________________________________


To make the next conference even better, we need your evaluation of this year’s conference sessions. Please check the answer that best reflects your response to the question.


How satisfied were you that the session:

Does Not Apply

Very Satisfied

Satisfied

Neither Satisfied nor Dissatisfied

Dissatisfied

Very Dissatisfied

Delivered what the session description promised?







Was logically organized?







Provided adequate detail on topics presented?







Provided the information you needed?







Had high quality handouts?








How satisfied were you :

Does Not Apply

Very Satisfied

Satisfied

Neither Satisfied nor Dissatisfied

Dissatisfied

Very Dissatisfied

With the overall quality of presentations?







That the presenters used relevant subject matter and examples?







With presenters’ involvement of the audience during their presentations?







With the presenters’ openness to questions?







That the presenters answered questions?







With the pace of the presenters?







With the number of presenters?








Comments/Suggestions:







Please check all that apply to you:


State Agency UST Program Educational Organization Tribal Agency LUST Program

Trade/Industry Organization Federal Agency Fund Program Other: _________________

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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:


Elizabeth McDermott

US Environmental Protection Agency Phone: (202) 564-0646

1200 Pennsylvania Avenue, NW (5401R) Email: mcdermott.elizabeth@epa.gov

Washington, DC 20460


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EPA Form Number 5800-043

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleIndividual Session Evaluation Form
Authorspeters
File Modified0000-00-00
File Created2021-11-07

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