na-201901

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

na-201901

OMB: 3095-0070

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NATIONAL ARCHIVES and RECORDS ADMINISTRATION

700 Pennsylvania Avenue, NW Washington, DC 20408-0001

w ww.archives.gov

Know Your Records


Click here to enter program title.

by Click here to enter presenter’s name.

Click here to enter program date.


We value your opinion. Please take a few minutes to complete this evaluation. Your comments help us maintain the quality of our services and help us plan future programs.



Please rate the following items:

Strongly

Agree


Agree

Disagree

Strongly

Disagree

No basis

to answer

I learned something that will help me

Handouts were useful

The presenter was effective

Overall, I was satisfied with the program



I will recommend this workshop to others

 Yes

 No

Which one of the following categories best describes you . . .


 General public National Archives employee, student, volunteer, or docent

 Researcher Other (please specify) ________________________________



How did you hear about the program?



What topics would you like featured in future programs?



How could this program be improved? (If more space is needed, continue on other side.)





If you would like to discuss this program, OR would like us to contact you regarding upcoming programs, please contact the Research Services Know Your Records staff at [email protected] or 202-357-5260 or tell us how to get in touch with you.



Name & Address ______________________________________________________________



Email _______________________________________________________________________


PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT: You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Public burden reporting for this collection of information is estimated to be less than 5 minutes per response. Send comments regarding the burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to National Archives and Records Administration (MP), 8601 Adelphi Rd, College Park, MD 20740-6001. DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.


OMB Control No.: 3095-0070 Expiration date: 12/31/2020 NA FORM 201901 RDDC (05-17)

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleArchives 1 Letterhead
AuthorAMatney
File Modified0000-00-00
File Created2021-11-05

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