OMB Control No. 2010-0042
Approval Expires 3/31/2021
Conference Evaluation Form
27th National Tanks Conference and Expo
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 be two minutes 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.
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:
Elizabeth McDermott
US Environmental Protection Agency Phone: (202) 564-0646
1200 Pennsylvania Avenue, NW (5401R) Email: mcdermott.elizabeth@epa.gov
Washington, DC 20460
EPA Form Number 5800-044
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Beasley, Julie |
File Modified | 0000-00-00 |
File Created | 2021-11-15 |