OMB Control No. 0331-0004
Approval Expiration Date: 08/31/2025

Question Title

Image
This survey helps to improve the Climate and Economic Justice Screening Tool (CEJST) and website.

Your feedback on the CEJST is invaluable.

Participation is open to everyone.

Please select or write your responses to the following questions.

You can provide additional information in the comment boxes.

Question Title

* 1. How did you hear about the CEJST? (Select all that apply)

Question Title

* 2. Which group best describes your role? (Select all that apply)

Question Title

* 3. How often do you visit the CEJST?

Question Title

* 4. Why did you visit the CEJST? (Select all that apply)

Question Title

* 5. What are you currently using the CEJST for?

Question Title

* 6. How would you rate the overall ease of use of the tool?

Question Title

* 7. How likely is it that you would recommend tool to a friend or colleague?

Not at all likely
Extremely likely

Question Title

* 8. Is there any missing information that should be added to the tool?

Question Title

* 9. What other features or functions should the tool have?

Question Title

* 10. It is okay for someone to contact me about this feedback

Question Title

* 11. Contact Information

Thank you for your feedback!
Please direct all comments, questions, or suggestions about this survey to:
Dr. Natasha DeJarnett, Deputy Director for Environmental Justice Data and Evaluation
Screeningtool-Support@omb.eop.gov
Phone: (202) 395-5750
Council on Environmental Quality
Executive Office of the President
730 Jackson Place, NW
Washington, DC 20506
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. 0331-004). 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 ten 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 Corey Solow, Director for Environmental Justice, Council on Environmental Quality, Executive Office of the President, 730 Jackson Place, NW, Washington, DC 20506. Include the OMB control number in any correspondence. Do not send the completed form to this address."

T