National Center on Early Childhood Quality Assurance Feedback Surveys for Technical Assistance Groups

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

2 - Instrument Form COP and Workgroup Evaluation - LCOP

National Center on Early Childhood Quality Assurance Feedback Surveys for Technical Assistance Groups

OMB: 0970-0401

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OMB #: 0970-0401

Expiration Date: 6/30/2024


Licensing Exempt/Licensing Community of Practice Survey 

DATE

________________________________________

We want to learn about your experiences with the Licensing Exempt/Licensing Community of Practice that is facilitated by the National Center on Early Childhood Quality Assurance. Your answers are private and will be used to improve our work. Thank you for taking the time to complete this brief survey.

Please select your role:

Community member

CCR&R staff

License exempt monitoring staff

License exempt management staff

Licensing surveyor

Licensing management

Researcher

State-level professional

Training and technical assistance professional

Other

If other, please describe: ____________________________________

Level of Participation 

How many calls have you participated in during the last year?

1-3 calls

4-6 calls

7-9 calls

10-12 calls 


Content Relevance and Usefulness


Please indicate the extent to which you agree with the statements below.

Strongly agree

Agree

Disagree

Strongly disagree

Not applicable

The purposes of the CoP are clear.

Strongly agree

Agree

Disagree

Strongly disagree

NA

Resources are provided as needed.

Strongly agree

Agree

Disagree

Strongly disagree

NA

The experience of being in the CoP is useful (i.e. provides you with practical information or a practical perspective to inform your work).

Strongly agree

Agree

Disagree

Strongly disagree

NA

The experience of being in the CoP is relevant to my current work (i.e. pertinent to your current work).

Strongly agree

Agree

Disagree

Strongly disagree

NA

The experience of being in the CoP is influential (i.e. influenced your thinking; gave you "a-ha" moments; enabled you to think in a different way about your system(s), your partnerships, or other critical aspects of your work; and/or helped you analyze, synthesize, or integrate information in a new way.)

Strongly agree

Agree

Disagree

Strongly disagree

NA

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

____________________________________________________

Facilitator

Please indicate the extent to which you agree with the statements below.

Strongly agree

Agree

Disagree

Strongly disagree

Not applicable

The facilitator is well prepared.

Strongly agree

Agree

Disagree

Strongly disagree

NA

The facilitator helps the group value the contributions of each member.

Strongly agree

Agree

Disagree

Strongly disagree

NA

The facilitator helps guide discussions and shared activities about our shared interest.

Strongly agree

Agree

Disagree

Strongly disagree

NA



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

____________________________________________________





Overall Benefits


Please indicate the extent to which you agree with the statements below.

Strongly agree

Agree

Disagree

Strongly disagree

Not applicable

I am increasing my awareness and knowledge by participating in the CoP.


Strongly agree

Agree

Disagree

Strongly disagree

NA

Overall, the experience is relevant and fits my needs.

Strongly agree

Agree

Disagree

Strongly disagree

NA

This experience offers ideas I can use in my work.

Strongly agree

Agree

Disagree

Strongly disagree

NA

This experience offers support that re-energizes my commitment to my work.

Strongly agree

Agree

Disagree

Strongly disagree

NA



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

How can the Licensing Exempt/Licensing Community of Practice better address your needs? 

Are there other topics that would be useful to you? 





Thank you for taking the time to share your feedback! 


PAPERWORK REDUCTION ACT OF 1995 (Public Law 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to collect feedback from recipients participating in Training and Technical Assistance (T/TA) activities provided by the National Center on Early Childhood Quality Assurance (NCECQA). The public reporting burden for this collection of information is estimated to average 3 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 6/30/2024. If you have any comments on this collection of information, please contact Leatha Chun at [email protected].

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File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
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