OST Customer Feedback Survey

United States Department of the Interior

Office of the Special Trustee for American Indians

Field Operations

Customer/Participant Feedback Survey

OMB Control Number: 1090-0011

Expiration Date: 6/30/2015

Date _______   Event_____________________________   Presenter_____________________________       Customer/Participant Feedback Customer and Participant Feedback Rating:	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The information was organized and easy to follow
The speaker was knowledgeable about the information
The materials distributed were useful
The length of the session was adequate
I can use this information for my job
I can use this information for my household or family

Do you have ideas that would improve future events?

Are there other topics you would like us to cover?

Paperwork Reduction Act Statement: This information is collected to gather qualitative data on improving trust service, by authority of the American Indian Trust Fund Management Reform Act of 1994. It is estimated that responding to the request will take approximately between 10 to 15 minutes to complete and fill out the survey. If you wish to provide comments about the Form, including the accuracy of the burden estimate and any suggestions for reducing the burden, please e-mail them to: [email protected] or send them to Office of the Special Trustee for American Indians, Attn: Ronald Hunt, 4400 Masthead Street N.E., Albuquerque NM 87109. Note: Comments, as well as the names and addresses of individuals who submit comments, are available for public review during regular business hours. If you wish us to withhold this information, you must state this prominently at the beginning of your comment. We will honor your request to the extent allowable by law. In compliance with the Paperwork Reduction Act of 1995, as amended, the collection has been reviewed by the Office of Management and Budget (OMB). The collection has been assigned a control number and expiration date by OMB. The number is located at the top of this survey page and the expiration date follows immediately after the control number. Please note that a Federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless a valid OMB control number appears on the face of the form.