Online Feedback Form

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Online Feedback Form

OMB: 1103-0117

Document [pdf]
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Uniform Crime Reporting (UCR) Training Feedback
This survey is issued by the United States Department of Justice, FBI, Criminal Justice Information Services Division

Attendee Feedback
Please enter the following info about your session:
UCR Training

I

Date

MM/DD/YYYY

Efj

Please rate your satisfaction with:

Registering for the
course
Accessing the class
on the course date
The overall
technical quality of
the course

Very Satisfied

Satisfied

Neither Satisfied
Nor Dissatisfied

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

Excellent

Very Good

Good

Fair

Poor

0

0

0

0

0

0

0

0

0

0

Dissatisfied

Very Dissatisfied

Please rate the following:

The presenter's
knowledge,
preparedness, and
communication
The amount of
information
presented

Excellent

Very Good

Good

Fair

Poor

0

0

0

0

0

The overall value of
the course

What part of the course did you find most useful?

What aspects of the course could be improved?

How relevant is the material to your role?

Q

Extremely relevant

Q Very relevant

Q

Not so relevant

Q

Not at all relevant

0 Somewhat relevant
Which of the following best describes your primary role within your agency?

Q
Q

Sworn Officer
Support Staff

Q

State Program Employee

Q

Other (please specify)

How likely is it that you would recommend the training to a friend or colleague?
Extremely likely

Not at all likely
0

1

2

3

4

5

6

7

8

9

10

Principal Purpose: The purpose of this survey is to gather feedback regarding your experience with the UCR training session.
Routine Uses: All surveys will be maintained in accordance with the Privacy Act of 1974. Information on the form may be
disclosed with your consent, and may be disclosed without your consent as permitted by all applicable routine uses as published
in the Federal Register (FR), including the routine uses for the FBI Online Collaboration Systems (JUSTICE/FBI-004),
published at 82 FR 57291 (Dec. 4, 2017), and the routine uses for The FBI Central Records System (JUSTICE/FBI-002),
published at 63 FR 8659, 671 (Feb. 20, 1998) and amended at 66 FR 8425 (Jan. 31, 2001), 66 FR 17200 (Mar. 29, 2001), and 82
FR 24147 (May 25, 2017). Routine uses may include sharing information with other local, state, tribal, territorial, or federal law
enforcement agencies.
Pursuant to Paperwork Reduction Act requirements, this collection has been assigned the following control number by the Office
of Management and Budget (0MB): 1103-0117. This 0MB control number expires 12/31/2022.


File Typeapplication/pdf
File TitleUniform Crime Reporting (UCR) Training Feedback Survey
Authorkjdodd
File Modified2022-04-29
File Created2021-07-08

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