PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Brownfields Minimizing Displacement Technical Assistance Participant Satisfaction Survey
New
60
10
0
Form
6200-030
Minimizing Displacement Resulting from Brownfields Assessment, Cleanup and Reuse
CDX and Exchange Network Helpdesk Customer Satisfaction Survey
New
100
13
0
Form and Instruction
n/a
CDX Customer Satisfaction Survey
Form and Instruction
n/a
Exchange Network Help Desk Satisfaction Survey
Campus RainWorks Challenge Survey
New
72
36
0
Form
6100-090
Campus RainWorks Survey
Channelview ISD Teacher discussion to identify project priorities and needs for the 2024-25 school year
New
15
15
0
Instruction
Climate & Sustainability Event Survey for the GPCOG EJG2G Community Resilience Program
New
600
50
0
Form
6700-031
Climate & Sustainability Event Survey
Community Change Technical Assistance Recipient Satisfaction Survey
New
1806
1806
0
Other-Survey
Crisfield Resilience Academy
New
740
163
0
Form
6000-023
CRISFIELD RESILIENCE ACADEMY: PRE-SURVEY QUESTIONS
Form
6000-024
CRISFIELD RESILIENCE ACADEMY: POST-SURVEY QUESTIONS
Form
6000-025
Crisfield Resilience Academy Session Evaluation
Form and Instruction
6000-026
Crisfield 6-month Post-Academy Interview Protocol
Customer Satisfaction Survey for EPA's Adaptation Resource Center (ARC-X)
New
1000
125
0
Form and Instruction
5800-086
ARC-X User Satisfaction Survey
Customer Satisfaction Survey for State Government Officials on ORD Research Area Coordination Teams
New
40
7
0
Form
5800-041
ORD State Engagement Feedback Survey on RACT Participation
Customer Satisfaction Surveys for Feedback on Technical Assistance to Brownfield Communities
New
950
32
0
Form
6200-031
Technical Assistance to Brownfield Communities – Evaluation Questions
Customer Satisfaction Surveys for feedback on the EJ TCTACs
New
1500
375
0
Form
5800-091
EJ TCTAC Intake Form Center A
Form
5800-092
EJ TCTAC Intake Form Center B
Form
5800-093
EJ TCTAC Intake Form Center C
Cuyahoga County Board of Health Feedback Activity during Health Impact Assessment Training Sessions
New
180
30
0
Form and Instruction
6700-032
HIA Training Feedback Storytelling Activity
Instruction
DSIMB Helpdesk Survey
New
2000
133
0
Form
5800-010
DSIMB Helpdesk Survey Questions
DSIMB – ICIS Customer Support Training Questions
New
2000
133
0
Form
5800-081
DSIMB Post Training Survey Questions
ECHO Tools Survey
New
300
28
0
Form
5800-0085
ECHO Tool Survey Questions
ECHO Training Questions
New
2300
153
0
Form
5800-037
ECHO Post Training Survey Questions
EPA Certification Plan and Reporting Database Users Survey
New
92
15
0
Form
9600-070
Survey of Certification Plan and Reporting Database Users
EPA Docket Center Customer Satisfaction Survey
New
100
8
0
Form
5800-003
EPA Docket Center Customer Service Survey
EPA Water Quality Standards Academy Student Course Evaluation
New
200
33
0
Form
5800-047
Water Quality Standards Academy Evaluation Form
Environmental and Climate Justice Community Change Technical Assistance
New
250
17
0
Form
5800-089
Environmental and Climate Justice Community Change Technical Assistance Request Form
Equitable Resilience Builder Tool Feedback Survey
New
813
203
0
Form
6000-030
Equitable Resilience Builder Tool Feedback Survey
Evaluation of Environmental Collaboration and Conflict Resolution (ECCR) Services and Training at EPA
New
478
212
0
Form
5800-024
ECCR Agreement Seeking Participant Evaluation Survey
Form
5800-027
ECCR Facilitated Dialogue Participant Questionnaire
Form
5800-034
ECCR Long Term Group Facilitation Participant Questionnaire
Form
5800-035
ECCR Meeting Facilitation Questionnaire
Form
5800-036
ECCR Training Participant Evaluation Survey
Evaluations for the National Tanks Conference and Expo
New
260
7
0
Form
5800-043
Individual Session Evaluation Form: National Tanks Conference
Form
5800-044
Conference Evaluation Form: National Tanks Conference and Expo
Feedback Survey: NWEJC Launch Event
New
135
11
0
Form
5800-095
Feedback Survey: Northwest Environmental Justice Center Launch Event
Feedback survey for participants of Healthy Homes and ECO Neighborhoods' learning experiences
New
1200
300
0
Form
6700-034
Healthy Homes and ECO Neighborhoods Survey
Form
6700-035
Healthy Homes Assessment and Energy Audit Feedback
Focus Groups for Development new EPA Label Program for Low Embodied Carbon Construction Materials & Products
New
48
108
0
Instruction
Focus Groups for Feedback on the Office of Pesticide Programs
New
30
90
0
Other-Guide
Focus groups for feedback on the EJ TCTACs
New
850
2550
0
Other-Focus Group Topic Guide
Great Lakes AOC Project Area Community Use and Benefits Intercept (Customer Satisfaction) Survey
New
240
40
0
Form
5800-049
Great Lakes AOC User Satisfaction Survey
Greening Urban Neighborhoods from the Ground Up
New
400
67
0
Form
6700-010
Far Eastside Survey
Groundwork USA Nonprofit Technical Assistance Grant Satisfaction Surveys
New
375
62
0
Form
6200-033
Groundwork USA Nonprofit Technical Assistance Grant Customer Satisfaction Survey
Gulf of Mexico Division Funding Opportunities
New
750
188
0
Form
6700-012
GMD Funding Opportunities
Homeowner Perceptions, Barriers, and Intentions to Install a Living Shoreline Interview
New
20
20
0
Instruction
Homeowner Perceptions, Barriers, and Intentions to Install a Living Shoreline Survey
New
156
20
0
Form
6700-027
Homeowner Perceptions, Barriers, and Intentions to Install a Living Shoreline 1st Survey
Form
6700-028
Homeowner Perceptions, Barriers, and Intentions to Install a Living Shoreline 2nd Survey
Impact Analysis Questions for Communities in the Southeast New England Program Network (SNEP)
New
30
8
0
Form
6700-011
Impact Analysis Questions for Communities
LISS Partnership DEI/EJ Readiness Survey
New
120
30
0
Form
6700-025
LISS Partnership DEI/EJ Survey
Land Revitalization Technical Assistance program (LRTA) Customer Satisfaction Survey
New
72
18
0
Form
6200-035
Land Revitalization Technical Assistance to Brownfields Communities (LRTA) – Evaluation Questions
Los Angeles Fire Recovery Permitting Issues Inventory
New
1000
167
0
Other-Telephone Script
Lower Duwamish Waterway Superfund Site ICIAP "Fun to Catch, Toxic to Eat" Programmatic Evaluation Forms
New
675
323
0
Form
6700-021
CHA Behavior Survey
Form
6700-022
Pre-Assessment of CHAs-in-Training
Form
6700-023
Post-Assessment of CHAs-in-Training
Form
6700-026
Fishers Workshop Background Survey
Form
6700-018
Fishers Workshop PRE-Survey
Form
6700-019
Fishers Workshop POST-Survey
Form
6700-020
Fishers Workshop Pledges
Form
6700-017
Moms and Caregivers Background Survey
Form
6700-016
Moms and Caregivers Mini Quiz
Form
6700-015
Moms and Caregivers Pledges
Form
6700-014
Moms and Caregivers Self-Assessment
Form
6700-013
Outreach Event Survey
NAMs Training Surveys
New
4999
250
0
Form
6000-019
NAMs Pre-Training Registration
Form
6000-020
NAMs Post-Training Feedback
Needs Assessment and Feedback on FOG Training Sessions
New
3240
450
0
Other-Survey
Other-Poll Questions
Other-Survey
Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey
New
10
1
0
Form
5800-017
ADR User Survey
Oʻahu Climate Champions Final Reflection
New
30
5
0
Form and Instruction
6700-030
Climate Champions Final Reflection
Oʻahu Climate Champions Monthly Reflections
New
84
21
0
Form and Instruction
6700-029
Climate Champion Monthly Reflection
Pesticide Safety Education Funds Management Program Customer Satisfaction Survey
New
56
5
0
Form
9600-071
Customer Satisfaction Survey: PSEFMP Application Process
Pipe Up Campaign Phase 3: Campaign Message Testing
New
24
36
0
Other-Intro Page
Instruction
Planning with Structured Decision Making/DASEES
New
100
8
0
Form
5800-059
Planning with Structured Decision Making/DASEES
Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations
New
120
112
0
Form and Instruction
6100-081
Screener - Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations
Form and Instruction
6100-082
Discussion Guide - Pretesting Outreach Materials for Fish Consumption Advisories to Reach Vulnerable Populations
Regional Environmental Health Data Visualization (REHD) Tool Usability Testing Surveys
New
150
38
0
Other-Survey
Other-Survey
SF6 Partnership Stakeholder Feedback Survey
New
66
11
0
Form and Instruction
5900-707
SF6 Emission Reduction Partnership for Electric Power Systems Stakeholder Feedback
Science Matters Newsletter Customer Satisfaction Survey
New
20000
1667
0
Form
5800-011
Science Matters Survey
Thrive NOLA Summer Camp Assessment and Feedback Surveys
New
300
75
0
Other-Survey
Other-Survey
Train-the-Trainer 6-month Post-Survey – Community Lead Awareness (CLA)
New
84
14
0
Form
9600-036
Lead Awareness Curriculum Session Train-the-Trainer Follow-up Survey
Train-the-Trainer Post-Survey – Community Lead Awareness (CLA)
New
420
70
0
Form
9600-035
Train-the-Trainer Post-Survey
Train-the-Trainer Pre-Survey – Community Lead Awareness (CLA)
New
420
70
0
Form
9600-033
Train-the-Trainer Pre-Survey
Understanding Lead Post-Survey – Community Lead Awareness (CLA)
New
350
58
0
Form
9600-034
Understanding Lead Post-Survey
Understanding Lead Pre-Survey – Community Lead Awareness (CLA)
New
350
58
0
Form
9600-032
Understanding Lead Pre-Survey
Water Technical Assistance Request Form & Needs Assessment
New
300
15
0
Form and Instruction
6100-078
Water TA Request Form & Needs Assessment
eGRID User Satisfaction Survey
New
250
21
0
Form
5800-038
eGRID User Satisfaction Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR:
53310
10591
0
Total Burden Currently Requested for Information Collections Under Currently Approved ICR:
1065
274
0
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