0990-0379_revised product TA feedback survey_June 2024

Form Approved

OMB No. 0990-0379

Exp. Date 10/31/2026

Research and Evaluation Support for Office of Population Affairs Technical Assistance Product Feedback Survey

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

Research and Evaluation Support for Office of Population Affairs Technical Assistance Product Feedback Survey

Product satisfaction survey

Please take a few minutes to provide feedback about your experience with products recently created by the Research and Evaluation Support team for the Office of Population Affairs’ Teen Pregnancy Prevention Program. Your responses are anonymous and will be used for program improvement purposes only. Thank you for your time!

SD – Strongly disagree

D – Disagree

N – Neither agree nor disagree

A – Agree

SA – Strongly agree

NA – Not applicable

Product title: [FILL]

The product provided was useful and timely.	SD	D	N	A	SA	NA
The product provided clear guidance or tips for carrying out a key aspect of my program or evaluation.	SD	D	N	A	SA	NA
I plan to use techniques that were described in the product.	SD	D	N	A	SA	NA

4. What topics would you be interested in for future TA products?

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5. What format for TA products would be most helpful and why?

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