Participant Survey

OMB Control #: 1090-0011
Expires: 8/31/2018

OSMRE National Technical Training Program (NTTP) Participant Course Effectiveness Evaluation
Some information about you.
1) NTTP Course Title:

2) Name (optional):

3) Title (optional):

4) Which state is your job located?
Learning Effectiveness
5) Have you performed duties related to
the training since attending?

Yes

No

N/A

6) If No or N/A, please explain why.

Highly
Skilled

Very
Highly Skilled
7) Please indicate your knowledge
BEFORE the training.

5

Proficient

Highly
Very
Highly Skilled Skilled
8) Please indicate your level of knowledge
AFTER the training.

5

2

3

4

4

Very Low Skill No Skill
1

Proficient Very Low Skill No Skill
3

2

1

Strongly Agree Agree No Opinion Disagree Strongly Disagree
5

9) Attending the training has changed the
way in which you perform your duties?

4

Strongly Agree Agree
10) Your job performance has improved as
a result of the training?

5

4

3

2

1

No Opinion Disagree Strongly Disagree
3

1

2

Relevance to the Job
Very relevant Relevant Some relevant Little relevant Not relevant
3

4

5

11) Please rate the relevance of the course
content to your duties.

2

1

Very relevant Relevant Some relevant Little relevant Not relevant
5

12) Please rate the relevance of the course
materials (test equipment, manuals,
resources...)

3

4

2

1

Very relevant Relevant Some relevant Little relevant Not relevant
13) Please rate the relevance of the field
exercise to tasks which you perform.

5

4

3

2

1

Comments
Yes

No

14) Would you recommend this course to
others?

15) Do you have any additional comments?

PAPERWORK REDUCTION ACT STATEMENT
This information collection is voluntary and will be used to improve the effectiveness of technical training courses and to determine
the respondents' perceived effectiveness of the training courses. Future technical training courses may be modified as needed in
response to the comments received. Individual respondents will not be identified, but their responses will be used for statistical

purposes and may be quoted. Public reporting burden for this evaluation is estimated to average 10 minutes per response,
including the time for reviewing the instructions, gathering and maintaining data, and completing and reviewing the evaluation.
Federal Agencies 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.
Direct comments regarding the burden estimate or any other aspect of this evaluation to the Information Collection Clearance
Officer, OSMRE, Room 203 SIB, 1951 Constitution Ave, NW, Washington, DC 20240.