Form 1 ANA TTA Survey Questions

OMB Control No: 0970-0401

Expiration date: 5/31/2018

Administration for Native Americans (ANA) Training and Technical Assistance Survey

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average 0.08 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of 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.

1. Has the participant received training or technical assistance services in the past three years?

Please read the question and choose your level of agreement.		Disagree 1	2	3	4	Agree 5
The instructors were knowledgeable and helpful throughout this course and culturally respectful of the conditions our American Indian/Alaska Native/Pacific Islander communities face.		○	○	○	○	○
My understanding of _____________ has increased due to this _________ . (NOTE: Will be pre-filled prior to survey deployment depending on the type of service provided.)		○	○	○	○	○
Options for the blanks in Question 2
My Understanding of…	Increased due to this…
Community-based Project Design	PPD Training
Community-based Project Design	Pre-Application Training
Project Implementation	Post Award Training
Project Implementation	OTA-Programmatic
Project Implementation	OTA-Training (new staff)