Runaway and Homeless Youth (RHY) Monitoring Site Visit 360 Feedback Forms

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

360 Feedback Form AS COMPLETED BY PM ON FPO AND GRANTEE 11-9-2020 V2

Runaway and Homeless Youth (RHY) Monitoring Site Visit 360 Feedback Forms

OMB: 0970-0401

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360 EVALUATION FORM COMPLETED BY PEER MONITOR (PM)

Select a Site Visit from the dates below:

Shape1

Drop Down w/Dates







Shape2

Site Visits Activities






Y

N

Was an agenda for the visit provided?



Was the purpose/intent of the monitoring visit explained?



Did the grantee have opportunities to engage with the Review Team throughout the site visit when clarity and understanding was needed?



Was there an exit briefing/meeting with the grantee?



Did the FPO identify compliance issues (i.e., criteria not met) for the grantee, if any were found?



Did the Review Team provide an overview of the site visit outcomes and explain any applicable next steps?



Shape3

Feedback on Federal Project Officer by Peer Monitor



Narrative Response

Overall experience of the onsite monitoring visit: Shape4




NA

Poor

Acceptable

Good

Excellent

Accessibility of FPO (before and/or after the site visit):






Flexibility and willingness to work collegially with you and grantee program staff:






FPO’s knowledge of program requirements






Knowledge of administration (non-fiscal):






Knowledge of administration (fiscal):






Ability to provide useful, appropriate TA during the visit:






Ability to verbalize/clarify programmatic recommendations to the grantee while onsite:






Ability to identify any resources to help the grantee carry out team recommendations






YOUR OVERALL IMPRESSIONS OF THE FPO

Narrative Response

Areas where the FPO displayed strengths or brought extra value to the review. Shape5

Narrative Response

Areas where you saw a need for improvement in what was done, or how it was done: Shape6







Would you be interested in conducting additional reviews with this FPO? Y N

Please tell us why or why not.

Narrative Response

Shape7

Shape8

Feedback on Grantee






NA

Poor

Acceptable

Good

Excellent

Accessibility of staff, board, and youth:






Responsiveness/cooperation of staff






Openness to suggestions and technical assistance







YOUR OVERALL IMPRESSIONS OF THE GRANTEE

Narrative Response

Please add any comments regarding interaction with the grantee: Shape9































PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to collect feedback on RHY on-site monitoring processes. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0401; expiration date 5/31/2021. If you have any comments on this collection of information, please contact [email protected].



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorGERALD TRACY
File Modified0000-00-00
File Created2021-01-13

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