Form DHS CIS OMBudsman 2014 Annual Conference Evaluation Form

Citizenship and Immigration Services Ombudsman

2014 ANNUAL CONFERENCE

EVALUATION FORM

OMB Control No.: 1601-0014

Expiration Date: October 31, 2014

Please take a few moments to complete this form to help us improve our Annual Conference.

Your input is important to us.

How would you rate the following?

1. Morning Plenary Sessions/Speaker Remarks

___ Excellent/Useful ___ Satisfactory ___Unsatisfactory/Irrelevant

Comments:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Afternoon – Session I

Which Panel did you attend? ________________________________________________________

Was the Topic: ___ Excellent/Useful ___ Satisfactory ___Unsatisfactory/Irrelevant

Were the Panelists: ___ Excellent/Useful ___ Satisfactory ___Unsatisfactory/Irrelevant

How effective was the moderator? ___ Excellent/Useful ___ Satisfactory ___Unsatisfactory/Ineffective

Was this information new? ___ Yes ___ No Thorough? ___ Yes ___ No Relevant? ___ Yes ___ No

3. Afternoon – Session ll

Which Panel did you attend? ________________________________________________________

Was the Topic : ___ Excellent/Useful ___ Satisfactory ___Unsatisfactory/Irrelevant

Were the Panelists : ___ Excellent/Useful ___ Satisfactory ___Unsatisfactory/Irrelevant

How effective was the moderator? ___ Excellent/Useful ___ Satisfactory ___Unsatisfactory/Ineffective

Was this information new? ___ Yes ___ No Thorough? ___ Yes ___ No Relevant? ___ Yes ___ No

Comments:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Registration and Planning Information ___ Excellent ___ Good ___ Satisfactory ___ Unsatisfactory

6. Location and facilities ___ Excellent ___ Good ___ Satisfactory ___ Unsatisfactory

7. The overall quality of the Conference ___ Excellent ___ Good ___ Satisfactory ___ Unsatisfactory

Comments:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. As a result of attending the conference, are you more or less likely to utilize the services of the CIS Ombudsman? _________________________________________________________________________________________________

Please offer any additional comments or topics for discussion that you think would improve our next Conference:

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Thank you for your time and your comments. Please return this form to the registration table.

Paperwork Reduction Act

The public reporting burden to complete this information collection is estimated at 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and the completing and reviewing the collected information. 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 and expiration date. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to DHS at [email protected] ATTN: PRA 1601-0014.

www.dhs.gov/cisombudsman