OMB Control No: 0970-0401
Expiration Date: 05/31/2021
PATH TA Immediate Feedback Form
(administered after each TA occurrence)
Dear Grantee,
Thank you for providing feedback about the effectiveness of Technical Assistance (TA) provided by Programmatic Assistance for Tribal Home Visiting (PATH) to Tribal Home Visiting (THV) grantees. This form should take less than 6 minutes to complete. Your feedback is private since we do not collect personal identifiable information.
Your feedback provides valuable information to PATH and ACF. We analyze and review the results with rigor and incorporate your suggestions to continuously improve the TA.
Although you have received TA from other sources, we are asking you to answer the questions based on the individualized, targeted and universal TA provided specifically by PATH from [enter dates]. For your reference, please note that you will receive an email with a list of TA activities you and your team attended over the past year.
Public Burden Statement: 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. Public reporting burden for this collection of information is estimated to average .1 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Anne Bergan, Office of Child Care Administration for Children and Families, HHS, Mary E. Switzer Building 330 C Street, SW, Suite 3014F, Washington, DC 2020.
Thank you for taking the time to help us improve the support we provide to you and your team!
Please contact Petra Smith [email protected] or Tara Chico-Jarillo [email protected] if you have questions or concerns.
Please select the role that most closely aligns with your responsibilities related to the Tribal Home Visiting project.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | DOCUMENTATION FOR THE GENERIC CLEARANCE |
Author | 558022 |
File Modified | 0000-00-00 |
File Created | 2021-01-15 |