Maternal, Infant, and Early Childhood Home Visiting (MIECHV) All Grantee Meeting (AGM) & Tribal Regional Meetings Feedback Surveys

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

Appendices A-D - PATH AGM Feedback Surveys

Maternal, Infant, and Early Childhood Home Visiting (MIECHV) All Grantee Meeting (AGM) & Tribal Regional Meetings Feedback Surveys

OMB: 0970-0401

Document [docx]
Download: docx | pdf


Appendix A

OMB Control No. 0970-0401

Expiration Date: 05/31/2021

[insert date and title] AGM Overall Meeting Feedback Form


Public Burden Statement: 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 project is 0970-0401. Public reporting burden for this collection of information is estimated to an average of 6 minutes 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 Anne Bergan, Office of Child Care, Administration for Children and Families, HHS, Mary E. Switzer Building 330 C Street SW, Suite 3014F, Washington, DC 20024.


Use of Data: Thank you for providing feedback about the effectiveness of the MIECHV grantee meeting. This form should take less than 6 minutes to complete. Your feedback provides valuable information to TA centers, ACF, and meeting planning committees. We analyze and review the results with rigor and incorporate your suggestions to continuously improve the meeting content and logistics. For example, because of your feedback we now select more interactive sessions and activities that provide more opportunities for deeper discussion with other grantees/awardees. Or we now incorporate longer, more intensive working sessions that better meet adult learning styles and provide opportunities for applying knowledge practical tools and resources.

Shape1

Please select your affiliation


MIECHV State Region or Territory

Tribal Home Visiting Program

Other

Please select the role that most closely aligns with your responsibilities related to the MIECHV project.


Grantee Lead/Director/Coordinator

Grantee Data/Evaluation Staff

Grantee Program Staff/Consultant

Grantee Grants Management/Fiscal Staff

Federal Staff/Partner

Model Developer

National TA Provider

ECCS Coordinator/Staff


Home Visitor

Speaker

Other


Shape24

Please pick the 4 sessions that you found most helpful

Length of Meeting:

Shape27



Meeting Grantee Needs: Please indicate to what extent you agree that the meeting:

Was relevant to your work

Provided resources and strategies to support your home visiting/early childhood related efforts

Enhanced your existing knowledge and/or skills

Provided speakers/presenters who demonstrated topic expertise

Offered relevant meeting activities, sessions, and topics that met your current needs

Future Action: Please indicate to what extent you agree that you plan to use what you learned or the resources you obtained.

Share knowledge or skills with various stakeholders and other team members

Make changes in policies, guidelines, procedures, or interagency agreements/contracts

Make changes in the service delivery system for families

Pursue additional technical assistance related to a topic featured during the meeting

Learn more about a topic featured during the meeting

Past Action: If you attended the previous meeting, please indicate to what extent you agree that you used what you learned/applied the tools and resources you obtained during the meeting.

Applied what I learned to make changes in policies, guidelines, procedures, or interagency agreements/contracts

Applied tools and resources to make changes in policies, guidelines, procedures, or interagency agreements/contracts

Balance of Activity: Please indicate to what extent you agree the meeting provided a balance of activities.

Felt there was sufficient time allocated for individual program agendas (either tribal or state and territory separate)

Felt there was an appropriate balance between activities, large group sessions, and breakout sessions

Felt there was sufficient time allocated for joint agenda sessions, activities, and networking (tribal, state and territory together)

Felt there were sufficient formal and informal networking opportunities (Insert list activities offered during the meeting)

Logistics: Please indicate to what extent you agree that the meeting organizers arranged for comfortable accommodations and logistical assistance.

Comfortable and appropriate meeting space

Comfortable with easy to use meeting technology

Comfortable and clean sleeping accommodations at the hotel

Responsive registration and meeting coordination staff

A meeting app that was helpful and usable

The ability to participate in individual TA sessions with respective TA providers

Helpfulness of materials made available in advance of the meeting (e.g., meeting information, “Know Before You Go” email, etc.)


What was the most helpful aspect of the meeting?


What improvements can be made?


What can we improve that would enable you to better apply learning or tools obtained at the meeting to your program?


Other comments:

Appendix B

OMB Control No. 0970-0401

Expiration Date: 05/31/2021

[insert date and title] AGM Individual Session Feedback Form


Public Burden Statement: 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 project is 0970-0401. Public reporting burden for this collection of information is estimated to an average of 6 minutes 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 Anne Bergan, Office of Child Care, Administration for Children and Families, HHS, Mary E. Switzer Building 330 C Street SW, Suite 3014F, Washington, DC 20024.


Use of Data: Thank you for providing feedback about the effectiveness of the sessions MIECHV grantee meeting. This form should take less than 6 minutes to complete. Your feedback provides valuable information to TA centers, ACF and meeting planning committees. We analyze and review the results with rigor and incorporate your suggestions to continuously improve the meeting content and logistics. For example, because of your feedback we now plan more interactive sessions and activities that provide more opportunities for deeper discussion with other grantees/awardees. Or we now incorporate longer, more intensive working sessions that better meet adult learning styles and provide opportunities for applying knowledge practical tools and resources.


Shape55 Please select your affiliation



MIECHV State Region or Territory

Tribal Home Visiting Program

Other


Please select the role that most closely aligns with your responsibilities related to the MIECHV project.


Grantee Lead/Director/Coordinator

Grantee Data/Evaluation Staff

Grantee Program Staff/Consultant

Grantee Grants Management/Fiscal Staff

Home Visitor

ECCS Coordinator/Staff

Federal Staff/Partner

Model Developer

National TA Provider

Speaker

Other


Shape78

Please rate each session using the scale listed below


Strongly Disagree

Disagree

Slightly Disagree

Slightly Agree

Agree

Strongly Agree


Please indicate the degree (enter rating 1, 2, 3, 4, 5 or 6 in the box) to which the Plenary or Breakout session...


Achieved intended objectives

Met your needs

Provided new information

Allotted time for questions and/or quality discussion

Was well organized, engaging and effectively presented

Speaker(s) demonstrated topic expertise

Provided information you can apply to practice and/or enhanced your professional expertise

Plenary: Date, title, and presenter

Breakout Session: Date, title, and presenter

Working session: Date, title, and presenter


What is one thing that you liked best about the session?


What is one thing that you would change?


Other comments:





























Appendix C

OMB Control No. 0970-0401

Expiration Date: 07/31/20222

[Insert date and title] Virtual AGM Overall Meeting Feedback Form


Public Burden Statement: 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 project is 0970-0401. Public reporting burden for this collection of information is estimated to an average of 6 minutes 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 Anne Bergan, Office of Child Care, Administration for Children and Families, HHS, Mary E. Switzer Building 330 C Street SW, Suite 3014F, Washington, DC 20024.


Thank you for taking the time to help us improve the support we provide to you and your team!


Please contact Petra Smith [email protected] or Tara Chico-Jarillo [email protected]g if you have questions or concerns.


Use of Data: Thank you for providing feedback about the effectiveness of the MIECHV all grantee meeting (AGM). This form should take less than 6 minutes to complete. Your feedback provides valuable information to Technical Assistance (TA) centers, the Administration for Children and Families (ACF), and meeting planning committees. We analyze and review the results with rigor and incorporate your suggestions to improve the meeting content and logistics continuously. For example, we now select more interactive sessions and activities that provide more opportunities for more in-depth discussions with other grantees/awardees because of your feedback. Or we now incorporate longer, more intensive working sessions that better meet adult learning styles and provide opportunities for applying knowledge and acquiring practical tools and resources.

Shape109

Please select your affiliation

MIECHV State Region or Territory

Tribal Home Visiting Program

Other

Please select the role that most closely aligns with your responsibilities related to the MIECHV project.


Grantee Lead/Director/Coordinator

Grantee Data/Evaluation Staff

Grantee Program Staff/Consultant

Shape124

Grantee Grants Management/Fiscal Staff

Federal Staff/Partner

Model Developer

National TA Provider

ECCS Coordinator/Staff


Home Visitor

Speaker

Other



Please pick the four sessions that you found most helpful

Length of Meeting:

Shape135

Meeting Grantee Needs: Please indicate to what extent you agree that the meeting:

Was relevant to your work

Provided resources and strategies to support your home visiting/early childhood related efforts

Enhanced your existing knowledge and/or skills

Provided speakers/presenters who demonstrated topic expertise

Offered relevant meeting activities, sessions, and topics that met your current needs

Future Action: Please indicate to what extent you agree that you plan to use what you learned or the resources you obtained.

Share knowledge or skills with various stakeholders and other team members

Make changes in policies, guidelines, procedures, or interagency agreements/contracts

Make changes in the service delivery system for families

Pursue additional technical assistance related to a topic featured during the meeting

Learn more about a topic featured during the meeting

Past Action: If you attended the previous meeting, please indicate to what extent you agree that you used what you learned/applied the tools and resources you obtained during the meeting.

Applied what I learned to make changes in policies, guidelines, procedures, or interagency agreements/contracts

Applied tools and resources to make changes in policies, guidelines, procedures, or interagency agreements/contracts

Balance of Activity: Please indicate to what extent you agree that the meeting provided a balance of activities.

Felt there was sufficient time allocated for individual program agendas (either tribal or state and territory separate)

Felt there was an appropriate balance between activities, large group sessions, and breakout sessions

Felt there was sufficient time allocated for joint agenda sessions, activities, and networking (tribal, state, and territory together)

Felt there were sufficient formal and informal networking opportunities (Insert list activities offered during the meeting)

Logistics: Please indicate to what extent you agree that the meeting organizers arranged for comfortable accommodations and logistical assistance.

Comfortable with easy to use meeting technology

Responsive registration and meeting coordination staff

Helpful materials made available in advance of the meeting (meeting information, “Know Before You Go” email, etc.)


What was the most helpful aspect of the meeting?


What improvements can be made?


What can we improve that would enable you to better apply learning or tools obtained at the meeting to your program?

Other comments:


Appendix D



OMB Control No. 0970-0401

Expiration Date: 07/31/2022

[insert date and title] Virtual Individual Session Feedback Form


Public Burden Statement: 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 project is 0970-0401. Public reporting burden for this collection of information is estimated to an average of 6 minutes 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 Anne Bergan, Office of Child Care, Administration for Children and Families, HHS, Mary E. Switzer Building 330 C Street SW, Suite 3014F, Washington, DC 20024.


Use of Data: Thank you for providing feedback about the effectiveness of the sessions MIECHV grantee meeting. This form should take less than 6 minutes to complete. Your feedback provides valuable information to TA centers, ACF and meeting planning committees. We analyze and review the results with rigor and incorporate your suggestions to continuously improve the meeting content and logistics. For example, because of your feedback we now plan more interactive sessions and activities that provide more opportunities for deeper discussion with other grantees/awardees. Or we now incorporate longer, more intensive working sessions that better meet adult learning styles and provide opportunities for applying knowledge practical tools and resources.


Shape159 Please select your affiliation



MIECHV State Region or Territory

Tribal Home Visiting Program

Other


Please select the role that most closely aligns with your responsibilities related to the MIECHV project.


Grantee Lead/Director/Coordinator

Grantee Data/Evaluation Staff

Grantee Program Staff/Consultant

Grantee Grants Management/Fiscal Staff

Home Visitor

ECCS Coordinator/Staff

Federal Staff/Partner

Model Developer

National TA Provider

Speaker

Other


Shape182

Please rate each session using the scale listed below


Strongly Disagree

Disagree

Slightly Disagree

Slightly Agree

Agree

Strongly Agree


Please indicate the degree (enter rating 1, 2, 3, 4, 5 or 6 in the box) to which the Plenary or Breakout session...


Achieved intended objectives

Met your needs

Provided new information

Allotted time for questions and/or quality discussion

Was well organized, engaging and effectively presented

Speaker(s) demonstrated topic expertise

Provided information you can apply to practice and/or enhanced your professional expertise

Plenary: Date, title, and presenter

Breakout Session: Date, title, and presenter

Working session: Date, title, and presenter


What is one thing that you liked best about the session?


What is one thing that you would change?


Other comments:

























3


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorGoldstein, Naomi (ACF)
File Modified0000-00-00
File Created2021-05-04

© 2024 OMB.report | Privacy Policy