*OMB No.: XXXX-XXXX
Expiration Date: 00/00/0000
Training and Technical Assistance (T/TA) Activity Survey 1
Welcome to the Child Welfare Training and Technical Assistance Evaluation (T/TA) weblink for completing a survey on your experience with providers of the Children’s Bureau’s T/TA Network.
Based on your participation in T/TA from the [NAME of IC/NRC], you have been randomly selected to assist in an independent cross-site evaluation of the Children’s Bureau’s National Resource Centers (NRCs) and Implementation Centers (ICs). 2 Your participation is a critical component of this evaluation and is vital to providing important information to the Children’s Bureau about the effectiveness of T/TA.
This cross-site evaluation addresses the role of T/TA services in helping states and tribes improve their child welfare systems. We are interested in learning more about your experiences with a particular T/TA activity that was provided to [STATE/TRIBE]. The questions in this survey will focus on this selected activity.
For purposes of this evaluation, we define the child welfare system to include the child welfare agency, the courts and legal system, social service agencies, and other child-serving providers.
Some respondents to this survey may be counties, territories, or local jurisdictions, but for the purposes of a common language, we use the generic term of “State or Tribe” in this survey.
It takes about 15 minutes to answer the questions. Your privacy is very important to us. Your responses will be combined with the answers from agencies across the country and individual answers will not be associated with organizations or respondents. If you should have any questions about the survey, please contact Dr. James DeSantis at JBA via email at desantis@jbassoc.com or via phone at 800-546-3230.
The questions for this survey pertain to the following T/TA activity:
State/Tribe: [State/Tribe Receiving T/TA]
T/TA Recipient Lead: [T/TA Recipient Lead Name]
Lead T/TA Provider: [Lead T/TA Provider]
Other T/TA Providers involved in T/TA, if applicable: [NRC/IC Name(s)]
Primary Mode of Contact: [Mode of contact to which most time was devoted]
Primary Type of T/TA: [Type of T/TA most important to primary mode of delivery]
Date(s) of T/TA Activity: [Start Date] – [End Date]
Targeted Practice Area(s): [Practice Area]
Organizational/Systems process(es) addressed by T/TA: [Organizational/Systemic Area(s)]
This survey should be completed by the State/Tribal T/TA Liaison or the person most knowledgeable of the aforementioned T/TA activity. Are you the appropriate person to respond to this T/TA survey?
Yes Begin survey
No Stop. You do not need to continue with this survey. Please indicate the name, title, and email of the person in your agency/organization most knowledgeable of this T/TA Activity:
Name:__________________________ Title: __________________________
Email: __________________________ Phone Number:__________________
A. Utilization of Children’s Bureau’s T/TA Providers
Please use the scale provided to indicate the degree to which each of the following factors influenced your agency/organization’s decision to request or apply for the T/TA noted at the beginning of this survey (T/TA Activity).
How much influence did each of the following factors have in your agency/organization’s decision to request or apply for T/TA? |
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Does not apply |
No Influence |
Some Influence |
A Great Deal of Influence |
Federal Factors |
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ACF Regional Office suggestion/referral |
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CFSR findings/PIP development |
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Federal law or policy change |
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Other Federal factors (Specify):
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T/TA Network Factors |
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Outreach to your State/Tribe by the National Resource Center |
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Outreach to your State/Tribe by the Implementation Center in your ACF Region |
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Prior use of National Resource Center services |
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Prior use of Implementation Center services |
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Geographic proximity of the National Resource Centers |
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Geographic proximity of the Implementation Center in your ACF Region |
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Recommendation/Referral from other National Resource Centers |
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Recommendation/Referral from another Implementation Center (outside your ACF Region) |
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Peer networking activities facilitated by the National Resource Centers |
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Peer networking activities facilitated by the Implementation Centers in your ACF Region |
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Other T/TA Network factors (Specify):
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State/Tribal Factors |
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Recommendation from other State/Tribe |
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Specific State/Tribal incident (e.g., child fatality) |
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State/Tribal quality assurance review |
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Agency/organization leadership |
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Lawsuit/legal settlement |
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State/local law or policy change |
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Other State/Tribal factors (Specify):
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B. Experience with Children’s Bureau’s NRCs and ICs: [NRC/IC Name]
This section refers to your agency/organization’s experience with seeking assistance from [NRC/IC Name] related to the specific T/TA activity described above. Please rate your level of agreement with the following statements using the scale provided.
These questions relate to your work with [NRC/IC Name]
Request for Assistance |
Not Applicable |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
For National Resource Centers only:
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For Implementation Centers only:
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If you have any suggestions on how the request and approval process could be improved, please note them here.
B3. The section refers to your agency/organization’s experience working with [NRC/IC Name] on the specific T/TA activity noted here: [T/TA Activity]_______________________ . 3
Please rate your level of agreement with the following statements using the scale provided.
Knowledge and expertise of consultants that provided T/TA
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Not Applicable |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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Outcome of the T/TA activity |
Not Applicable |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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B4. This section relates to your overall experience with the [NRC name]. Please rate your level of agreement with the following statements using the scale provided.
Satisfaction with communication, information sharing, relationships, and follow through |
Not Applicable |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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B5. This section relates to your overall experience with the [IC name]. Please rate your level of agreement with the following statements using the scale provided.
Satisfaction with communication, information sharing, relationships, and follow through |
Not Applicable |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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If you have any suggestions about how this T/TA could be improved, please note them here.
Section C will be completed only for T/TA that involves multiple providers and is part of a plan [matrix] or part of an Implementation Project. These questions will appear only if multiple providers were involved in the T/TA activity .
Coordination of Multiple T/TA Providers
The T/TA your agency/organization received is part of a(n) [Implementation Project/Coordinated T/TA Effort] and requires multiple NRC involvement or IC/NRC involvement.
The next few statements refer to the coordination of the T/TA from your perspective as the recipient. Please rate your level of agreement with the following statements using the scale provided.
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Not Applicable |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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If you have any suggestions for how coordination of T/TA could be improved, please note them here.
D. State or Tribe’s Response to T/TA
The next set of statements relate to your perceptions of the State or Tribe’s response to the T/TA provided by [NRC/IC Name]. Please rate your level of agreement with the following statements using the scale provided.
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Not Applicable |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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If you have any additional comments regarding the State or Tribe’s response to T/TA, please note them here.
E. Background
We would like to first capture some information on your background.
DROP-DOWN
Which title most closely describes your position?
For what agency/organization do you work? _____________________________
Within which division or unit in your agency/organization do you work?
How long have you been in this current position? _______[years] ______[ months]
How long have you been with the agency/organization? _______[years] _____[months]
F. Helpful Feedback
If you have any concerns about your ability to recall the T/TA Activity that was the focus of this survey, please provide comments here:
Thank you.
This is the end of the survey.
We greatly appreciate your participation in this important evaluation
of the Children Bureau’s T/TA Network.
1 Text in brackets will be prefilled.
2 This evaluation is being conducted by James Bell Associates and its subcontractor, ICF International, and is funded by the Children’s Bureau, Administration on Children and Families, U.S. Department of Health and Human Services.
3 Question B3 will be asked for each of the ICs and/or NRCs involved with the activity.
T/TA Activity Survey - final
File Type | application/msword |
File Title | SUPPORTING STATEMENT FOR |
Author | hafford |
Last Modified By | USER |
File Modified | 2010-05-27 |
File Created | 2010-05-27 |