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

OMB 2010-0042

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

The latest form for Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal) expires 2021-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 5800-050 Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey Form
Form 5800-049 Great Lakes AOC Project Area Community Use and Benefits Site User Satisfaction Survey Form
Form 5800-048 e-Manifest Electronic Manifest Questionnaire Form
Form 5800-047 EPA Water Quality Standards Academy Student Course Evaluation Form
Form 5800-046 Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey Form
Form 5800-045 TRI-MEweb Customer Survey (Toxic Release Inventory – Made Easy Web) Form
Form 5800-043 Evaluation Forms for the National Tanks Conference and Expo Form
Form 2010-0042 Survey of Certification Plan and Reporting Database Users – Evaluating User Access Form
Form 5800-042 Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction Form
Form 5800-041 Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process Form
Form 5800-011 Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey Form
Form 5800-010 Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR) Form
Form 5800-040 Customer Satisfaction Survey for Healthier School Environments Workshops Form
Form 5800-039 Guest Speaker Survey Form
Form 5800-015 Pretesting Outreach and Web Materials for Fish Consumption Advisories Form and Instruction
Form 5800-013 Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Patron Air Sensor Use Component Form
Form 5800-003 EPA Docket Center Customer Satisfaction Survey Form
Form 5800-007 EnviroAtlas Survey Form
Form 5800-016 EJScreen 2022 Impact Survey Form
Form 5800-038 eGRID Customer Satisfaction Survey Form
Form 5800-037 ECHO Post Training Survey Questions Form
Form 5800-020 Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA Form
Form 5800-0012 Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10 Form
Form 6200-021 Customer Satisfaction Survey for the America Recycles Events Form
Form 5800-020 Office of Research & Development's EPA Tools & Resources Webinar Series and EPA Science Training Webinars - Attendee Satisfaction Survey Form and Instruction
Form 5800-019 Central Data Exchange (CDX) Help Desk Survey Form and Instruction
Form 5800-018 Central Data Exchange (CDX) Customer Satisfaction Survey Form and Instruction
Form 5800-017 Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey Form
Instructions & Template for Generic Customer Service Collection Request.docx Supplementary Document
2434ss99.docx Supporting Statement A
2434ss99.docx Supporting Statement B
Survey Soliciting Input for Vision 2032 Plan Other-Survey Questions
Viburnum Trend Lead Haul Roads, Operable Unit 2 – St. Joe Minerals Corp, City of Viburnum Superfund Site Community Survey Form
Great Lakes AOC Project Area Community Use and Benefits Site User Satisfaction Survey Form
e-Manifest Electronic Manifest Questionnaire Form
EPA Water Quality Standards Academy Student Course Evaluation Form
Toxics Release Inventory (TRI) Program Website Customer Satisfaction Survey Form
TRI-MEweb Customer Survey (Toxic Release Inventory – Made Easy Web) Form
Evaluation Forms for the National Tanks Conference and Expo Form
Survey of Certification Plan and Reporting Database Users – Evaluating User Access Form
Office of Research and Development/Office of Water (ORD/OW) Small Systems Webinar Series Attendee Survey of Satisfaction Form
Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process Form
Office of Research and Development Science Matters Newsletter Customer Satisfaction Survey Form
Helpdesk Customer Satisfaction Survey for the Integrated Compliance Information System (ICIS) and the National Pollutant Discharge Elimination System (NPDES) eReporting Tools (NeT, NeTDMR) Form
Customer Satisfaction Survey for Healthier School Environments Workshops Form
Guest Speaker Survey Form
Pretesting Outreach and Web Materials for Fish Consumption Advisories Form and Instruction
Evaluating the Pilot Los Angeles Public Library Sensor Loan Program: Patron Air Sensor Use Component Form
EPA Docket Center Customer Satisfaction Survey Form
EnviroAtlas Survey Form
EJScreen 2022 Impact Survey Form
eGRID Customer Satisfaction Survey Form
ECHO Post Training Survey Questions Form
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA Form
Evaluating Diesel Emissions Reduction Act (DERA) Program Customer Satisfaction in EPA Regions 9 and 10 Form
Customer Satisfaction Survey for the America Recycles Events Form
Office of Research & Development's EPA Tools & Resources Webinar Series and EPA Science Training Webinars - Attendee Satisfaction Survey Form and Instruction
Central Data Exchange (CDX) Help Desk Survey Form and Instruction
Central Data Exchange (CDX) Customer Satisfaction Survey Form and Instruction
Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey Form

All Historical Document Collections

202012-2010-001 Approved without change	Extension without change of a currently approved collection	2021-03-31
201711-2010-001 Approved with change	Extension without change of a currently approved collection	2017-11-30
201604-2010-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-05-04
201506-2010-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-06-15
201408-2010-001 Approved without change	Extension without change of a currently approved collection	2014-08-05
201106-2010-002 Approved with change	New collection (Request for a new OMB Control Number)	2011-06-09

OMB Details

CDX Customer Satisfaction Survey

Federal Enterprise Architecture: Environmental Management - Environmental Monitoring and Forecasting