NCAI Exchange Network Tribal Baseline Assessment Survey
Exit this
survey

1.

EPA Form No. 5800-01

The public reporting and
recordkeeping burden for this collection
of information is estimated to
average 30 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, including through the use of
automated collection
techniques to the Director, Collection Strategies
Division, U.S.
Environmental Protection Agency (2822T), 1200 Pennsylvania
Ave., NW,
Washington, D.C. 20460. Include the OMB control number in
any
correspondence. Do not send the completed survey to this
address.

1. Are you
currently collecting environmental data?

Are you currently collecting environmental
data?   Yes

No

2. Do you have
a need for collecting additional types of environmental data (air, water, solid
waste)?

Do you have a need for collecting additional
types of environmental data (air, water, solid waste)?
Yes

No

If so,
what?

3. Who manages
your environmental data? (Collects, receives, reviews, uses, distributes,
etc.)

Who manages your environmental data?
(Collects, receives, reviews, uses, distributes,
etc.)

4. What kinds
of environmental data does your tribe currently collect on a regular basis?

What kinds of environmental data does your
tribe currently collect on a regular basis?   Ambient Water
Quality

Drinking Water

Air
Quality

Waste Management

Water Chemistry

Other

If other, please
specify:

5. Do you
currently share or exchange environmental data with U.S. EPA, other tribes,
certain states or local communities?

Do you currently share or exchange
environmental data with U.S. EPA, other tribes, certain states or local
communities?   Yes

No

6. If YES to
Question 5, what kind of environmental data do you share and with whom?

If YES to Question 5, what kind of
environmental data do you share and with whom?

7. If NO to
Question 5, would you want to share environmental data?

If NO to Question 5, would you want to share
environmental data?   Yes

No

8. Do you have
security concerns about sharing data with others? Such as: network hacking, or
private/privileged data?

Do you have security concerns about sharing
data with others? Such as: network hacking, or private/privileged data?
Yes

No

Please
Explain

9. How is your
environmental information collected?

How is your environmental information
collected?   Manual

Automatic

10. How is
your environmental information stored?

How is your environmental information
stored?   Paper

Electronic

Other

Other (please
specify)

11. Do you
have a specific environmental data management application (database)?

Do you have a specific environmental data
management application (database)?   Yes

No

If so, what is
it?

12. How is
your environmental information submitted to EPA?

How is your environmental information
submitted to EPA?   Mail

Fax

Electronic

13. Can you
connect to the Internet?

Can you connect to the Internet?
Yes

No

14. If so,
how?

If so, how?
Dial-Up

High-Speed
Internet

15. Do you
have dedicated IT staff?

Do you have dedicated IT staff?
Yes

No

If Yes, please list
number, title, and certification if applicable

16. What are
your needs/wishes to improve your environmental data management?

What are your needs/wishes to improve your
environmental data management?   Access to
information

IT
staff

Hardware

Software

Training

Operations and Maintenance support

Other

Other (please
specify)

17. Do you
distribute environmental information to community members?

Do you distribute environmental information
to community members?   Yes

No

If so, by what
means and how often?

18. Have you
heard of the National Environmental Information Exchange Network?

Have you heard of the National Environmental
Information Exchange Network?   Yes

No

19. Are you
familiar with the Environmental Protection Agency Central Data Exchange
(CDX)?

Are you familiar with the Environmental
Protection Agency Central Data Exchange (CDX)?
Yes

No

20. Do you
have cooperative agreements for joint environmental management (air, water,
solid waste) with other tribes, EPA, state, and/or local units of
government?

Do you have cooperative agreements for joint
environmental management (air, water, solid waste) with other tribes, EPA,
state, and/or local units of government?
Yes

No

21. Do you
have delegated responsibilities for environmental programs from the state and/or
EPA?

Do you have delegated responsibilities for
environmental programs from the state and/or EPA?
Yes

No

If yes, please list
the delegated programs and data flows