Civics for All of US Educator Professional Development Evaluation

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

Civics for All of US Educator Professional Development Evaluation

Civics for All of US Educator Professional Development Evaluation

OMB: 3095-0070

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1.	Program:	

2.	Date	of	Program:	

Date:

Date

MM/DD/YYYY

	

3.	Is	this	your	first	time	participating	in	a	National	Archives	Teacher	Program?	(142)	
Yes
No

4.	Overall,	I	am	satisfied	with	my	education	program	experience	today	(141).	
Yes
No

5.	I	learned	something	that	I	can	apply	to	my	work	(149).	
Strongly	agree
Agree
Neither	agree	nor	disagree
Disagree
Strongly	disagree

6.	The	audiovisual	technologies	were	fully	functioning	(144).	
Yes
No

7.	Will	you	recommend	this	program	to	other	educators	(147)?		
Yes
No

8.	Please	explain	why	or	why	not.	

9.	The	program	meets	my	professional	needs	(150).	
Strongly	agree
Agree
Neither	agree	nor	disagree
Disagree
Strongly	disagree

10.	The	material	provided	effectively	aligns	with	current	education	standards.	
Strongly	agree
Agree
Neither	agree	nor	disagree
Disagree
Strongly	disagree

11.	Which	part(s)	of	the	program	did	you	find	the	most	interesting	and/or	useful?	

12.	How	will	you	use	the	ideas,	information	and/or	handouts	from	the	program?	

13.	Participating	in	this	program	has	increased	my	confidence	in	teaching	with	primary
sources.	
Strongly	agree
Agree
Neither	agree	nor	disagree
Disagree
Strongly	disagree

14.	Participating	in	this	program	will	help	me	improve	students'	civic	knowledge	and	skills.	
Strongly	agree
Agree
Neither	agree	nor	disagree
Disagree
Strongly	disagree

15.	How	could	this	program	be	improved?	

16.	What	topic(s)	would	you	like	to	see	addressed	in	the	future?	

17.	What	types	of	civic	education	resources	are	you	most	interested	in	from	the	National
Archives?	
	Extremely
interested

	
Distance	learning
programs
Onsite	field	trip
programs	at
National	Archives
and	Presidential
Library	sites
Lesson	plans
Online	teaching
activities	on
DocsTeach.org
Videos
Online	primary
sources
Other	(please	specify
below):
Other	(please	specify):

Very	interested

Somewhat
interested

Not	so	interested

Not	at	all
interested

PRIVACY	ACT	STATEMENT	&	PAPERWORK	REDUCTION	ACT	PUBLIC	BURDEN	STATEMENT
Collection	of	this	information	is	authorized	by	44	U.S.C	2104.	The	information	you	provide	to	NARA	on	this	form
will	be	used	to	manage	attendance,	registration	and	communication	for	and	about	NARA’s	learning	program.	This
information	is	necessary	in	order	to	efficiently	administer	the	program.	Completing	this	form	is	voluntary.	If	you	do
not	provide	this	information,	NARA	may	not	be	able	to	process	your	request	to	participate	in	our	education	events
and	distance	learning	opportunities.	In	accordance	with	the	Privacy	Act,	5	U.S.C.	552a(e)(4)(D),	NARA	may	disclose
this	information	to:	appropriate	Federal,	state,	local,	or	foreign	agencies	when	needed	for	civil,	criminal,	or
regulatory	investigations	or	prosecution;	in	response	to	a	request	from	another	Federal	agency	or	Congress;	to	a
NARA	consultant,	agent,	or	contractor	to	the	extent	necessary	for	them	to	assist	NARA	in	the	performance	of	its
duties;	or	in	accordance	with	any	other	“routine	uses	of	records”	listed	in	the	Privacy	Act	System	of	Records	Notice
NARA	5,	“Conference,	workshop,	and	training	course	files.”
You	are	not	required	to	provide	the	information	requested	on	a	form	that	is	subject	to	the	Paperwork	Reduction	Act
unless	the	form	displays	a	valid	OMB	control	number.	Public	burden	reporting	for	this	collection	of	information	is
estimated	to	be	less	than	10	minutes	per	response.	Send	comments	regarding	the	burden	estimate	or	any	other
aspect	of	the	collection	of	information,	including	suggestions	for	reducing	this	burden,	to	National	Archives	and
Records	Administration	(MP),	8601	Adelphi	Rd,	College	Park,	MD	20740-6001.	DO	NOT	SEND	COMPLETED
FORMS	TO	THIS	ADDRESS.
OMB	Control	No.	3095-0070	01/31/2024	


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