In Person Training/Computer-Based Training

Form Approved

OMB No. 0990-xxxx

Exp. Date XX/XX/20XX

1. HIPAA Training for State Attorneys General and Staff: Satisfaction Survey for Computer-Based Training Participants

Please take a moment to help us improve our training program by answering a few questions.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The computer-based training (CBT) software functioned appropriately without technical difficulties.
The content of the training was well organized.
The supporting materials were relevant and useful.
The information was presented in a clear and comprehensible way.
The computer-based activities contributed to my learning.
I will use the information I learned during the training to do my job.
Overall, I was satisfied with the CBT. I would recommend this training to other State AGs and staff.
What information or course material did you find most useful? What changes, if any, can we make to improve the CBT?

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer