B Attachment B - Resource Guide Survey

OMB No. 0915-0212

Expiration: 07/31/2021

Public Burden Statement: The purpose of this information collection is to assess end user satisfaction with technical support provided. The information will be used to improve future support provided. 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 OMB control number for this information collection is 0915-0212 and it is valid until 07/31/2021. This information collection is voluntary. Public reporting burden for this collection of information is estimated to average 0.08 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 HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or [email protected].

Resource Guide Satisfaction Survey

Thanks for working with our team on the MIECHV Developing Strategies to Facilitate Cross-Model Collaboration and Data Sharing project (MODS).

Your model recently received a resource guide offered by the MODS team to help you conduct research using your data. We would like to get feedback on the resource guide provided. This survey will only take about five minutes and will be used to improve the resources developed by the MODS Team. If you do not feel you can complete the survey, please forward it to the appropriate colleague. The responses to this survey are confidential. If you have any questions about this survey, please feel free to contact Yuko Ekyalongo at [email protected] or

612-223-3331 ex. 23.

BASIC INFORMATION

Today's date

Please identify the model you are affiliated with. ChildFirst EHS

Family Check-Up Family Connects Family Spirit HFA

HIPPY NFP PAT

SafeCare

Other (please specify)

If you selected "Other", please specify the model's name.

RESOURCE GUIDE

How would you rate your knowledge and/or skills Novice beginner

before reviewing the resource guide? Slightly knowledgeable Somewhat knowledgeable Very knowledgeable Expert

Not sure

How would you rate your knowledge and/or skills after Novice beginner reviewing the resource guide? Slightly knowledgeable

Somewhat knowledgeable Very knowledgeable Expert

Not sure

How would you rate the complexity of the resource Much too simple

guide? Too simple

About right Too complex

Much too complex Not sure

How likely will your model use the concepts or Very likely

knowledge gained from the resource guide for future Likely

analysis work? Unlikely

Very unlikely Not sure

Any additional comments or feedback about strengths or ways to improve the resource guide?

SUGGESTIONS FOR ADDITIONAL SUPPORT

Do you have any suggestions for additional support you would like to receive to conduct research using your data?

01-23-2020 5:43pm

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