PEP TA Customer Feedback Form

PEP TA Call Customer Feedback Form

1. Overall, the information covered on the TA call was relevant to me.

1__Not relevant

2__ Somewhat relevant

3__ Neutral

4 __ Mostly relevant

5__ Highly relevant

2. The information provided was explained in sufficient detail.

1__ Not explained

2__ Somewhat explained

3__ Neutral

4__ Mostly well-explained

5__ Fully explained

3. The information provided will be useful in completing the annual performance report.

1__ Will not help

2__ Will help a little

3__ Neutral

4__ Will help some

5__ Will help a lot

4. My questions were answered directly by the speakers in the remarks or while answering another question.

__ Yes __ No

PEP TA Call Customer Feedback Form

5. I understand how to report my GPRA data.

1__ I do not understand

2 __ I basically understand

3 __ Neutral/Not Sure

4 __ I mostly understand but may have a question

5 __ I fully understand

6. I understand how to report my budget expenditures, including matching funds.

1__ I do not understand

2 __ I basically understand

3 __ Neutral/Not Sure

4 __ I mostly understand but may have a question

5 __ I fully understand

7. The information provided on this call improved my ability to manage my grant and implement my program.

1__ Strongly disagree

2__ Disagree

3__ Neutral/no opinion

4__ Agree

5__ Strongly agree

8. Do you have additional comments or feedback?

Paperwork Burden Statement

According to the Paperwork reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1800-0011. The time required to complete this information collection is estimated to average 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 any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: U.S. Department of Education, Office of Safe and Drug-Free Schools, 550 12^th Street, S.W., PCP Room 10115, Washington D.C. 20202-2800.