ACF Office of Early Childhood Development Participant Feedback for Learning Experiences

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

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ACF Office of Early Childhood Development Participant Feedback for Learning Experiences

OMB: 0970-0401

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Questions for the ACF Office of Early Childhood Development Participant Feedback for Learning Experiences


Each survey will include a subset of the questions from the list below. The time to respond to the selected questions will not exceed 5 minutes.


Sample Questions

Likert Scale Questions

1) The webinar/meeting was applicable and relevant to my state or program’s needs. 2) Overall, the presenters enhanced my learning based on the information provided. 3) The webinar/meeting increased my knowledge and understanding about the topic. 4) I intend to apply what I learned in my work.

5) I am satisfied with the overall quality of the webinar/meeting.

6) My understanding of the role of my agency/division/department in addressing the [insert topic] has increased.

7)My understanding of prioritizing the needs of various populations [insert topic] has increased. 8) My understanding of the role and/or activities of philanthropy in efforts to address [insert topic] has increased. 9) I am able to identify at least one new promising practice relevant to addressing [insert topic] in our state. 10) I am able to identify at least one new resource that can help inform efforts to address [insert topic] in our state or community.

11) I am able to identify next steps to advance efforts to [insert topic] in our state or community. 12) I plan to follow-up and explore potential partnerships/collaborations with others that I met today.

13) The [Name of Webinar or Meeting] has increased my practical skills regarding [Topic 1]. (Insert/delete as many topics as necessary) 14) As a result of the [information I learned, knowledge I gained] through the [Name of Webinar or Meeting], I will be a more effective in my work. 15) As a result of my involvement in the [Name of Webinar or Meeting], I have improved my connections with peers/colleagues. 16) As a result of my participation, I am able to [Name of Webinar or Meeting – Goal 1]. (Insert/delete as many objectives/goals as necessary)


Likert Scale Responses

  1. Strongly Disagree

  2. Disagree

  3. Neutral, neither agree nor disagree

  4. Agree

  5. Strongly Agree

Open-ended Questions

  • What do parents and families need to support their healthy development and social and economic well-being?

  • What are some promising and innovative strategies to support and strengthen families with young children?

  • What are states/localities doing to increase improve early care and education systems and transition to school and other child and family service systems?

  • What are the factors that make it easier to coordinate across early childhood programs/initiatives?

  • What makes it hard or difficult to coordinate across programs and initiatives? What are barriers and challenges to serving families more holistically?

  • What could the federal government do to make the coordination better?

  • What type of technical assistance and support is needed?

  • What are some of the data and research needs in early childhood development?

  • What aspects of the [Name of Webinar or Meeting] were most useful for your work?

  • Were there ways in which the [Name of Webinar or Meeting] could have been more useful to you? (Yes/No)

    • If yes, please describe how this [Name of Webinar or Meeting] could have been more useful?


Multiple Choice Questions

Which of the following best describes your position? (Check one)

  • State or local public agency Leadership (Commissioners, Directors, Deputies)

  • Program Managers/ Program Director

  • Supervisors

  • Case Workers/Direct Practice Workers

  • Researcher

  • Policy Maker

  • Technical Assistance/ Consultant

  • Advocacy

  • Other (Please describe)


Which of the following best describes your organizational affiliation? (Check one)

  • State public agency

  • Local or county public agency/organization

  • Federal agency

  • Legislature

  • Non-profit (e.g. community-based organization, faith-based organization)

  • Territory

  • Tribal agency/organization

  • Training and technical assistance provider

  • Philanthropy or foundation

  • Early, Elementary, and Secondary Education

  • Higher Education

  • Other (Please describe)



PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: [Through this information collection, ACF is gathering information to understand the experience of customers with each learning experience so that they can make improvements to better serve customers and meet their information needs. Public reporting burden for this collection of information is estimated to average 5 minutes per respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0401 and the expiration date is 06/30/2024. If you have any comments on this collection of information, please contact [email protected].


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorGomez, Rosie (ACF)
File Modified0000-00-00
File Created2022-01-14

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