OMB XXXX In-person Training Version HUD Training Survey

Surveys of Recipients and Providers of Technical Assistance (TA) and Training

In-person Training Version_HUD Training Survey

Survey of Community Development Marketplace Project Inventory and Recipients and Providers of HUD Technical Assistance and Training

OMB: 2528-0325

Document [pdf]
Download: pdf | pdf
OMB Approval Number: XXXX-XXXX (Exp. XX/XX/XXXX)

Paperwork Reduction Act Burden: According to the Paperwork Reduction Act of 1995, no persons
are required to respond to a collection of information unless such collection displays a valid OMB
control number. This collection of information is optional and will assist HUD to improve the quality,
relevance, and delivery of technical assistance and training resources. The total time required to
complete this survey is estimated to average 10 minutes including the time to review instructions,
gather the data needed, and complete and review the survey. If you have any comments concerning
the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S.
Department of Housing and Urban Development, Office of Economic Development, 451 7th Street
SW, Room 7136, Washington, D.C. 20410.
Privacy Act Statement: The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain
information in connection with the request for information solicited on this form. Accordingly,
pursuant to the requirements of the Act, please be advised:
Authorization: This collection of information is authorized under Sec. 501 of Title V of the
Housing and Urban Development Act of 1970, Public Law 91-609, which authorizes the Secretary
“to undertake such programs of research, studies, testing, and demonstration relating to the
mission and programs of the Department as he determines to be necessary and appropriate.”
Purpose: This collection of information is necessary in order to systematically gather user
feedback and outcomes data to evaluate and improve HUD’s deployment and management of its
technical assistance and training resources. This type of information on outcomes has been
consistently requested by both OMB and Congressional Appropriations Committee staff.
Uses: This information collection is entirely voluntary. Any information collected may be seen
and used by HUD staff that are responsible for analysis of HUD’s technical assistance program.
Results of individual surveys will not be shared with TA providers, other TA recipients, or HUD
program office staff that have assisted in coordination of the technical assistance engagement.
Survey results may be shared in aggregated form with TA providers or HUD program office staff
that coordinate technical assistance. Survey results may also be shared in aggregated form with
other HUD stakeholders and Congress.
Disclosure: Voluntary. Any information collected in this information collection may be made
accessible to the public and shared widely. Please do NOT submit any personally identifiable
information as part of this information collection form, defined as any information which can
be used to distinguish or trace an individual's identity, such as name, social security number,
biometric records, etc. alone, or when combined with other personal or identifying information
which is linked or linkable to a specific individual, such as date and place of birth, mother’s
maiden name, etc.

1

OMB Approval Number: XXXX-XXXX (Exp. XX/XX/XXXX)

HUD TRAINING SURVEY: IN-PERSON TRAININGS
NOTE: Respondents should complete the Pre-Assessment prior to the start of the training course
Name: ________________________________________________________________________________________________________________
Organization: ________________________________________________________________________________________________________
Title: __________________________________________________________________________________________________________________
How many years have you worked in the field for which this training was designed? __________________________

PRE/POST KNOWLEDGE ASSESSMENT
This course’s Learning Objectives were:






Learning Objective #1
Learning Objective #2
Learning Objective #3
Learning Objective #4
Learning Objective #5

For each of the learning objectives, indicate the extent to which you understood the material
BEFORE and AFTER the training:

PRE-ASSESSMENT:
BEFORE the Training
Learning Objectives

No Understanding of
the Material related to
this objective

Some Understanding
of the Material related
to this objective

Strong Understanding
of the Material related
to this objective

Full Understanding of
the Material related to
this objective

Learning Objective #1

☐

☐

☐

☐

Learning Objective #2

☐

☐

☐

☐

Learning Objective #3

☐

☐

☐

☐

Learning Objective #4

☐

☐

☐

☐

Learning Objective #5

☐

☐

☐

☐

POST-ASSESSMENT:
AFTER the Training
Learning Objectives

No Understanding of
the Material related to
this objective

Some Understanding
of the Material related
to this objective

Strong Understanding
of the Material related
to this objective

Full Understanding of
the Material related to
this objective

Learning Objective #1

☐

☐

☐

☐

Learning Objective #2

☐

☐

☐

☐

Learning Objective #3

☐

☐

☐

☐

Learning Objective #4

☐

☐

☐

☐
2

OMB Approval Number: XXXX-XXXX (Exp. XX/XX/XXXX)
Learning Objective #5

☐

☐

☐

☐

SURVEY QUESTION 1: UTILITY OF TRAINING
I am likely to apply the skills and knowledge I learned from this course in my role within my
organization.
☐ Strongly Disagree
☐ Disagree
☐ Agree
☐ Strongly Agree

SURVEY QUESTION 2: GENERAL SATISFACTION
Overall, how satisfied were you with the training course?
☐ Very Dissatisfied
☐ Somewhat Dissatisfied
☐ Somewhat Satisfied
☐ Very Satisfied

SURVEY QUESTION 3: SATISFACTION WITH TRAINING ELEMENTS
To what extent were you satisfied with:
Very Dissatisfied

Somewhat
Dissatisfied

Somewhat
Satisfied

Very Satisfied

Relevance of the Course to your Job

☐

☐

☐

☐

Course Materials and Exercises

☐

☐

☐

☐

Instructor(s)

☐

☐

☐

☐

Length of the Course

☐

☐

☐

☐

Location of the Course

☐

☐

☐

☐

Number of Participants in the Course

☐

☐

☐

☐

Training Element

SURVEY QUESTION 4: LIKELIHOOD OF RECOMMENDATION
I would recommend this training to my peers.
☐ Strongly Disagree
☐ Disagree
☐ Agree
☐ Strongly Agree

SURVEY QUESTION 5: ADDITIONAL FEEDBACK – TRAINING ELEMENTS
Please provide any additional feedback or comments on the training course:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
3

OMB Approval Number: XXXX-XXXX (Exp. XX/XX/XXXX)

INSTRUCTOR #1 RATING
Name of Instructor 1: [pre-populate]
7a. Please rate this instructor on the following:
Strongly
Disagree

Disagree

Agree

Strongly Agree

The instructor was prepared
and organized

☐

☐

☐

☐

The Instructor had appropriate
knowledge of the material

☐

☐

☐

☐

The Instructor delivered the
material effectively

☐

☐

☐

☐

The Instructor managed the
session well and encouraged
appropriate participation

☐

☐

☐

☐

Instructor #1

7b. Please provide any additional feedback or comments on this instructor:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

4

OMB Approval Number: XXXX-XXXX (Exp. XX/XX/XXXX)

INSTRUCTOR #2 RATING
Name of Instructor 2: [pre-populate]
8a. Please rate this instructor on the following:
Strongly
Disagree

Disagree

Agree

Strongly Agree

The instructor was prepared
and organized

☐

☐

☐

☐

The Instructor had appropriate
knowledge of the material

☐

☐

☐

☐

The Instructor delivered the
material effectively

☐

☐

☐

☐

The Instructor managed the
session well and encouraged
appropriate participation

☐

☐

☐

☐

Instructor #2

8b. Please provide any additional feedback or comments on this instructor:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

5


File Typeapplication/pdf
AuthorSteven Shepherd
File Modified2016-11-03
File Created2016-10-04

© 2024 OMB.report | Privacy Policy