Supervisor Survey

DOI Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Supervisor's Course Effectiveness Evaluation 2015 12-07-15 Ann

The Office of Surface Mining Reclamation and Control's Technical Training Program Course Effectiveness Evaluations

OMB: 1090-0011

Document [pdf]
Download: pdf | pdf
OMB Control #: 1090-0011
Expires: 8/31/2018

OSMRE National Technical Training Program (NTTP) Supervisors Course Effectiveness Evaluation
Demographics
1) Name (Optional):

2) Title (Optional):

3) Office (Optional):

Performance Improvement
4) Our records indicate that a member of
your staff recently completed the NTTP
course(s) mentioned. Has the employee's
job performance improved as a result of
the training?

Yes

No

5) Based on your observations, please rate Very Good
the employee's performance on tasks
5
(relating to the training) BEFORE taking
the course.

6) Based on your observations, please rate Very Good
(relating to the training) AFTER completing
5
the course.

N/A

Good
4

Good
4

Acceptable
3

Acceptable
3

Poor

Very Poor

2

1

Poor

Very Poor

2

1

7) If the employee has not performed duties related to the training since attending, was the training useful
for another purpose? Please explain.

Comments
No
Strongly Agree Agree Opinion Disagree Strongly Disagree
8) Would you recommend this course to
other employees?

5

4

3

2

1

9) 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, OSM, Room 203 SIB, 1951 Constitution Ave, NW, Washington, DC 20240.


File Typeapplication/pdf
AuthorArnold, Arlean T
File Modified2015-12-08
File Created2015-12-07

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