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OMB No. 2060-0663
Approval Expires 07/31/2017
dy
2014/2015 SmartWay
Affiliate Challenge
Thank you for participating in the SmartWay 2014/2015 Affiliate Challenge. The
Challenge provides EPA with the opportunity to publicly acknowledge the important
contributions of SmartWay Affiliates. To participate, complete the activities listed below.
These activities must be performed within the time frame of March 1, 2014 through
March 1,2015.
Completed checklist and supporting documentation such as sample materials,
descriptions, pictures, etc. must be postmarked by March 13, 2015. Mail to:
SmartWay Transport Affiliate Challenge
Attn: Patrice Thornton
USEPA Office of Transportation and Air Quality
2565 Plymouth Road Ann Arbor, Ml 48105
Supporting materials may also be e-mailed to: thornton.patrice@epa.gov by March 13,
2015. Place "Affiliate Challenge" in the subject line.
Name
Organization
E-mail address
Phone
Affiliates that complete the following six activities within the Challenge time period will be
publically recognized as SmartWay Affiliate Challenge Honorees
Place the SmartWay Affiliate logo on your marketing materials that reference
SmartWay
Disseminate SmartWay PSAs and or article internally, i.e., to your members and
stakeholders (website, internal newsletter)
Host at least one briefing, workshop orwebinarto educate and inform internal or
external stakeholders about a component of the SmartWay program
Co-Host with SmartWay HQ or Regions at least one SmartWay overview webinar
targeted to your membership/stakeholders/business partners
Develop and distribute joint letter to membership/stakeholders/business partners
asking them to engage in SmartWay
EPA-420-F-14-046a
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OMB No. 2060-0663
Approval Expires 07/31/2017
w
dy
2014/2015 SmartWay
Affiliate Challenge
Share SmartWay information on your social media sites
Choose one or more extra credit activities for special recognition:
Place PSA in external commercial publication
Write op-ed article about SmartWay and your organization's participation with the
SmartWay program for an external publication
Identify champion(s) at member organization for joint follow up
Assist partners with tool completion
Recruit a Partner or Affiliate into the program
Note: Acknowledgement by EPA SmartWay does not imply endorsement of the Affiliate
or of Affiliate's products or services.
Frequently Asked Questions
What is the SmartWay Affiliate Challenge?
The challenge is an opportunity for EPA to publically acknowledge SmartWay Affiliates
who have initiated and executed exceptional recruiting, promotional and marketing
activities in support of our shared goals. These Affiliates serve as role models for other
affiliates.
How do I participate in the 2014/2015 SmartWay Affiliate Challenge?
Complete the activities listed on the 2014/2015 Affiliate Challenge application. These
activities must be performed and completed during the time frame of March 1, 2014
through March 1, 2015. The completed form and supplemental materials must be sent to
Patrice Thornton. (Package must be postmarked by March 13, 2015).
Package may be sent to:
Patrice Thornton
US EPA SmartWay Affiliate Challenge
2565 Plymouth Road
Ann Arbor, Ml 48105
(734)214-4329
EPA-420-F-14-046a
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OMB No. 2060-0663
Approval Expires 07/31/2017
dy
2014/2015 SmartWay
Affiliate Challenge
Package can also be e-mailed to thornton. patrice@epa.gov Receipt of package will
occur via e-mail.
What should I submit to EPA?
Complete the Affiliate Challenge application by checking off the marketing activities
achieved between March 1, 2014 and March 1, 2015. Supporting documentation such
as pictures, names of recruited partners, copies of articles, etc. must be included in the
package.
Will there be opportunities for more than one organization to be recognized?
Yes, there may be multiple recipients.
When and how will nominees be notified of EPA's SmartWay Challenge decision?
EPA will contact all participants via e-mail regarding award decisions by March 31, 2015.
What will the recognition consist of?
• Awardees will be recognized on the SmartWay website in time for Earth Day,
2015.
• EPA will develop a press release template for Challenge participants to use in
their own Earth Day activities.
• EPA will send a congratulatory letter to the organization's Board of Directors.
• EPA will publicize the Affiliate Challenge and the honorees in a special Earth
Day edition of the SmartWay E-update.
Burden Statement: The public reporting and recordkeeping burden for this collection of information is estimated to
average 2.90 hours to review, compile and submit the SmartWay Affiliate Challenge application. This is a one-time
submittal. 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 and to the Office of Information and Regulatory Affairs, Office of Management and Budget,
Washington, DC 20503. Include the OMB control number in any correspondence. Do not send the completed [form or
survey] to this address.
EPA-420-F-14-046a
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