Form 5800-043 Individual Session Evaluation Form: National Tanks Confe

OMB Control No. 2030-0051

Expiration Date: 05/31/2024

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2030-0051). 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 1 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 Director, Information Engagement Division, 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.

Individual Session Evaluation Form

National Tanks Conference

Session Name: _____________________________________

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	Neutral	Dissatisfied	Very Dissatisfied
Delivered what the session description promised?
Was logically organized?
Provided adequate detail on topics presented?
Had high quality handouts?

How satisfied were you :	Does Not Apply	Very Satisfied	Satisfied	Neutral	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 amount of time allowed for questions?
With the pace of the presenters?
With the number of presenters?
With the variety of perspectives represented by the presenters?
With the length of the session?

Explanation for Responses Given Above/Additional Comments/Suggestions:

Please check all that apply to you:

□ State Agency □ UST Program □ Educational Organization □ Tribal Agency □ LUST Program

□ Manager □ Non-Manager □ Trade/Industry Organization □ 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 (5401T) Email: mcdermott.elizabeth@epa.gov

Washington, DC 20460

EPA Form: 5800-043 3