0955-003 ONC Interoperability Forum Overall Evaluation

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

0955-0003 Final overall survey_web (003)

OMB: 0955-0003

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Form Approved

OMB No. 0955-0003

Exp. Date 06/30/2021


ONC Interoperability Forum Overall Evaluation

Thank you for attending the 3rd ONC Interoperability Forum. ONC is dedicated to ensuring stakeholders have the information needed to improve the health IT environment. Please respond to the next few questions to help with improvements for the next Interoperability Forum.

  1. The organization of the event was ______.
    Insufficient Sufficient Good Very Good Excellent

  2. The timing of information (registration, agenda, etc.) prior to the forum was ______.

Insufficient Sufficient Good Very Good Excellent

  1. The quality of information prior to the forum was ______.
    Insufficient Sufficient Good Very Good Excellent


  1. The track themes selected for the forum were ___________ for addressing today’s barriers in health IT.

Insufficient Sufficient Good Very Good Excellent


  1. The schedule of events was ______ in covering a broad range of barriers and solutions in Health IT.
    Insufficient Sufficient Good Very Good Excellent


  1. The knowledge and information gained from participation at this event was ______.
    Insufficient Sufficient Good Very Good Excellent


  1. Did you visit any exhibits?
    Yes No Not Applicable


  1. Please rank your enjoyment of the exhibits (1=enjoyed the least, 5=enjoyed the most)

Drummond Group

Interoperability Proving Ground

Academia as an Innovation Hub

DoD/VA/IPO

ECQI Resource

1 2 3 4 5 NA

1 2 3 4 5 NA

1 2 3 4 5 NA

1 2 3 4 5 NA

1 2 3 4 5 NA



  1. The forum met my expectations.

Definitely Mostly Somewhat Not at all


  1. I would recommend this event to others.
    Definitely Mostly Somewhat Not at all



  1. Please provide any additional comments and suggestions (including activities or initiatives of interest for future events).

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0955-0003. The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHenry, Jawanna (OS/ONC)
File Modified0000-00-00
File Created2021-07-27

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