OMB # is 0970-0401; Expiration date is 05/31/2027.
Feedback Form
Thank you for attending the meeting. Please provide us with feedback on your experience by completing this form. Your feedback is valuable and greatly appreciated.
Please select your role at this event.
Tribal CCDF Administrator
Tribal CCDF Lead Agency Staff
Tribal Fiscal Staff
Federal Employee
OCC National Center TA Staff
Invited Presenter or Guest
Other (please specify)
Rate the overall meeting:
Excellent
Good
Fair
Poor
The information presented was respectful, nonjudgmental, and supportive of diverse populations (i.e., free from stereotypes or bias).
Strongly agree
Agree
Disagree
Strongly disagree
Comments:
Event Rating
Useful and Relevant (i.e., provided you with practical information or a practical perspective to inform your current work)
Extremely
Very
Slightly
Not at all
Influential (i.e., influenced your thinking; enabled you to think differently; helped you analyze, synthesize, or integrate information in a new way)
Extremely
Very
Slightly
Not at all
Well Organized (i.e., thoroughly covered talking points, easy to remember, effectively used the scheduled time)
Extremely
Very
Slightly
Not at all
Comments:
Do you have specific comments about any session held on the 1st day of the meeting?
Do you have specific comments about any session held on the 2nd day of the meeting?
What is one big takeaway you gained from the meeting?
What has inspired or motivated you?
What topic would you like to learn more about?
What is one project that your Tribe is doing that you would like to share with others?
Please suggest topics that you would like to have covered during future events. Suggested topics might be covered prior to the next meeting.
Please provide any additional comments or ideas.
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to obtain feedback from participants in OCC’s Tribal Cluster Meeting. Public reporting burden for this collection of information is estimated to average 10 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 05/31/2027. If you have any comments on this collection of information, please contact Stacy Cassell, stacy.cassell@acf.hhs.gov.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Justine Alldredge |
File Modified | 0000-00-00 |
File Created | 2024-09-15 |