OCC OMB GC - INSTRUMENT - TA Partners 2021.4.22

Feedback Form: State Capacity Building Center TA Partners

TITLE OF INFORMATION COLLECTION: State Capacity Building Center Feedback Collection for State Capacity Building Center TA Partners

OMB Control No: 0970-0401

Expiration date: XX/XX/XXXX

Email Invitation/Script

Subject Line: Your Feedback on [Event Name]

Good Morning/Afternoon,

The State Capacity Building Center is collecting feedback regarding its technical assistance (TA) services provided by the State Systems Specialist who are charged with supporting Regional Offices and coordinating training and technical assistance services. The State Systems Specialist works with you on the regional coordination of training and technical assistance services provided. We would greatly appreciate your voluntary, anonymous input. We will use your feedback to inform and improve the work of the State Systems Specialists of the State Capacity Building Center.

To provide feedback, please respond using this form. The survey will only take a few minutes and all responses are anonymous.

Feedback form

Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to collect participant feedback to shape future OCC technical assistance services. Public reporting burden for this collection of information is estimated to average 6 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, 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. The OMB number and expiration date for this collection are OMB #0970-0401, Exp. Date: XX/XX/XXXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Caroline Faux, [email protected].

Technical Assistance Activity: State Capacity Building Center Technical Assistance Partner
Region: [PROVIDE DROP DOWN]
Date: [DATE(S) OF EVENT(S)]

The State Systems Specialist of the State Capacity Building Center works in cooperation with the federal Regional offices to help assure regional coordination across the federally funded ACF OCC National Centers in order to best meet the needs of the states and territories in the region. Thinking about this process, please indicate the extent to which you agree with the statements below.

Support from State Systems Specialist

Please indicate the extent to which you agree with the statements below.	Strongly Agree	Agree	Disagree	Strongly Disagree
The State Systems Specialist helps me understand the TA priorities and needs of the states for their Child Care and Development Fund (CCDF) program.	1	2	3	4
The State Systems Specialist helps me understand the context of the states and territories in the region.	1	2	3	4

If you marked disagree or strongly disagree above or if you have any comments, please take a moment to give us a little more information.

Regional TA Planning and Implementation Calls

Please indicate the extent to which you agree with the statements below.	Strongly Agree	Agree	Disagree	Strongly Disagree
The regional TA planning and implementation calls are meeting the purpose of supporting regional collaboration and coordination of TA.	1	2	3	4
Thinking about the regional TA planning and implementation calls, they are of the right frequency.	1	2	3	4
Thinking about the regional TA planning and implementation calls, they are of the right length.	1	2	3	4
Thinking about the regional TA planning and implementation calls, my center is given an opportunity to contribute to the agenda development.	1	2	3	4
Coordinated planning takes place that allows my center to plan better to meet state needs and priorities.	1	2	3	4

If you marked disagree or strongly disagree for the question above or if you have any comments, please take a moment to give us a little more information.

General Feedback

What are the top strengths of the TA mobilization process (i.e. planning and implementation) ?

What are the top areas for improvement for the TA mobilization process (i.e. planning and implementation)?

What suggestions do you have to increase coordination in general across the TA Centers?

What suggestions do you have to increase collaboration in order to ensure useful TA is provided to meet the priorities of the states?

Thank you for participating!

State Capacity Building Center, A Service of the Office of Child Care Ι 9300 Lee Highway Ι Fairfax, VA 22031

Phone: 877-296-2401 Ι Email: [email protected]