Form 1 RML Family Care Survey Screenshot

OMB #0925-0648
Expiration date 05/31/2021

RML Family Care Survey 2019
Section 0: All Respondents
Burden Disclosure
Public reporting burden for this collection of information is estimated to average 10 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. 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. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974,
Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this
address.

Introduction:
This survey asks a series of questions about your perception of Child and Adult Dependent Care
availability and quality in Hamilton, MT and the surrounding area. Your feedback is valuable and
will be used to evaluate options for assistance guidance in addressing this problem for Rocky
Mountain Laboratory employees.

Instructions:
Please see the attached survey card for your reference and use. The survey will be digital,
however a hard copy of the survey questions is included to assist in the evaluation process. In
addition, please note the following below:
• Survey responses reside behind the NIH firewall and are secure to the extent permitted by law.
• For each question, select the option that best represents your view.
• The survey will take approximately 10 minutes to complete.
• Try to answer each question as honestly and accurately as possible.
• At any point, you may exit the survey and return to complete the survey at a later time. Your
answers will be saved.
Questions about this survey may be sent to Aaron Bestor at [email protected].