Research and Evaluation Support for Office of Population Affairs: Group TA

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

0990-0379_revised group TA feedback survey_revised June 2024

Research and Evaluation Support for Office of Population Affairs: Group TA

OMB: 0990-0379

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Form Approved

OMB No. 0990-0379

Exp. Date 10/31/2026





Research and Evaluation Support for Office of Population Affairs Technical Assistance: Group Technical Assistance 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



Group TA Survey



Feedback on group technical assistance activities (delivered via webinar or conference presentation)


Please take a few minutes to provide feedback about your experience attending a recent [webinar or conference presentation] by the Evaluation Technical Assistance (Eval TA) 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 – Somewhat disagree.

N – Neither agree nor disagree.

A – Agree.

SA – Strongly agree.

NA – Not applicable.


1. The learning objectives for this session were met.

SD

D

N

A

SA

NA

2. This training helped me to better understand the topic.

SD

D

N

A

SA

NA

3. The training was useful.

SD

D

N

A

SA

NA


Group learning activity title: [FILL]


  1. What did you find most useful about the training?

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. What, if anything, could have made this training better?

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________


  1. How do you intend to apply what you learned in this training?

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


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AuthorKatie Bodenlos
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