2019 Low Income Home Energy Assistance Program (LIHEAP) Grantee Conference Feedback

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

Attachment B - MTG_LIHEAP_conferencesessionfeedbackforfacilitatorssample_FY19_042419

2019 Low Income Home Energy Assistance Program (LIHEAP) Grantee Conference Feedback

OMB: 0970-0401

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C
ompletion of this form is voluntary and data collected from it will be kept private. The purpose of this data collection is to assist the Administration for Children and Families in improving its training opportunities for LIHEAP grantees. The anticipated time to complete this form is less than 1 minute.


Session: [Insert Title] [Insert time]


Please rate these sessions from 1 to 5 (5 is the highest) on the following items:


Facilitation:

Excellent

Very Good

Fair

Poor

Unsure

Did the facilitators introduce the topic clearly?

4

3

2

1

Did the facilitators manage Q&A effectively?

4

3

2

1



Topic:

Excellent

Very Good

Fair

Poor

Unsure

Relevance to my work?

4

3

2

1

Adequacy of time to cover the subject overall?

4

3

2

1



Additional Comments about Sessions and Speakers:






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THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average 1 minute 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. The control number for this project is 0970-0401. The control number expires on 5/31/2021.






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