Feedback on Office of Child Care Regional Grantee Meetings

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

OCC Regional Meeting Feedback Form_4.13.23

Feedback on Office of Child Care Regional Grantee Meetings

OMB: 0970-0401

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Feedback Form

 
Thank you for attending the meeting. Please provide us with feedback on your experience by completing this form. Your feedback is valuable and greatly appreciated.


Please select your role at this event.

  • Federal Employee

  • Invited Presenter or Guest

  • National Organization

  • State Administrator or State Staff

  • Territory Administrator or Territory Staff

  • TA Provider/National Center TA Staff

  • Shape1
    Other (please specify)


Overall rating for the regional meeting:


  • Poor

  • Fair

  • Good

  • Excellent


The information presented was respectful, nonjudgmental, and supportive of diverse populations (i.e., free from stereotypes or bias).


  • Strongly disagree

  • Disagree

  • Agree

  • Strongly agree


Shape2
Comments:


The event was:


Useful and Relevant (i.e., provided you with practical information or a practical perspective to inform your current work)


  • Not at all

  • Slightly

  • Very

  • Extremely


Influential (i.e., influenced your thinking; enabled you to think differently; helped you analyze, synthesize, or integrate information in a new way)


  • Not at all

  • Slightly

  • Very

  • Extremely


Well Organized (i.e., thoroughly covered talking points, easy to remember, effectively used the scheduled time)


  • Not at all

  • Slightly

  • Very

  • Extremely


Shape3
Comments:


Shape4
Do you have specific comments about any session held on the first day of the meeting?


Shape5
Do you have specific comments about any session held on the second day of the meeting?


Shape6
Do you have specific comments about any session held on third day of the meeting?


Shape7
What is one big takeaway you gained from the regional meeting?


Shape8
What has inspired or motivated you?


Shape9
What would you like to learn more about?


Shape10
What is one project that your State or Territory is doing that you would like to share with others?


Shape11
Please suggest topics that you would like to have covered during future Regional or National OCC meetings. Suggested topics might be covered prior to the next meeting.


Please provide any additional comments or ideas.

Shape12


PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to obtain feedback from participants in OCC’s Regional Grantee Meeting. Public reporting burden for this collection of information is estimated to average 10 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. An 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 Stacy Cassell, [email protected].

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMaria Hrabak
File Modified0000-00-00
File Created2023-08-31

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