Document
Post-Event/Post-Training Survey
ICR 202610-0938-001 · OMB 0938-1185 · Object 173843300.
Document Viewer [docx]
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Post-Event/Post-Training Survey |
| Author | Jacque Stempinski |
| Last Modified By | Writer |
| File Modified | 2023-09-22 |
| File Created | 2026-10-15 |
| Conversion State | complete |
Extracted Text
[Training Title] Post-Event/Post-Training Survey 1. How satisfied are you with the training? ○ Very Satisfied ○ Satisfied ○ Neutral ○ Dissatisfied ○ Very Dissatisfied 2. What did you like most about this training? 3. How can we improve this training in the future? 4. Which topics would you like to see covered in future training events? PRA Disclosure Statement 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 0938-XXXX (Expires XX/XX/XXXX). This is a voluntary information collection. The time required to complete this information collection is estimated to average 1-2 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850. ****CMS Disclosure**** Please do not send applications, claims, payments, medical records or any documents containing sensitive information to the PRA Reports Clearance Office. Please note that any correspondence not pertaining to the information collection burden approved under the associated OMB control number listed on this form will not be reviewed, forwarded, or retained. If you have questions or concerns regarding where to submit your documents, please contact the Contracting Officer’s Representative, Stacy Cole, [email protected].