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pdfSUPERVISORS'
OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT
NATIONAL TECHNICAL TRAINING PROGRAM
COURSE EFFECTIVENESS EVALUATION
OMB Control No. 1029-0110
Expires: 11/30/2012
1. Course Name:
2. Supervisor's Name (optional):
3. Title (optional):
4. Office (optional):
5. Name of student(s) who attended this course (optional):
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6. A. Our records indicate that a member(s) of your staff recently took the course listed
above. Have you discussed this course and its application to the job with employee(s)?
e
f
c Yes
e
f
c No
Please explain
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(1) Do you think the employee's(s') job performance has improved as a result of taking this
course?
e
f
c Yes
e
f
c No
Please explain
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(2) Has attending the course changed the way the employee(s) does things?
e
f
c Yes
e
f
c No
Please explain
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B. If your employee(s) hasn't performed work related to this course since attending,
was the course useful for another purpose?
e
f
c Yes
e
f
c No
Please explain
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7. Do you have any additional comments?
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THANKS FOR YOUR ASSISTANCE
PAPERWORK REDUCTION ACT STATEMENT
This information collection is voluntary and will be used to improve the effectiveness of technical training courses and to determine the
respondents' perceived effectiveness of the training courses. Future technical training courses may be modified as needed in response to the
comments received. Individual respondents will not be identified, but their responses will be used for statistical purposes and may be quoted.
Public reporting burden for this evaluation is estimated to average 10 minutes per response, including the time for reviewing the instructions,
gathering and maintaining data, and completing and reviewing the evaluation. Federal Agencies may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number.
Direct comments regarding the burden estimate or any other aspect of this evaluation to the Information Collection Clearance Officer, OSM, Room
203 SIB, 1951 Constitution Ave, NW, Washington, DC 20240.
File Type | application/pdf |
File Modified | 2012-09-21 |
File Created | 2012-09-21 |