Regulatory Information Conference Feedback Forms

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

RIC Technical Session Survey

Regulatory Information Conference Feedback Forms

OMB: 3150-0217

Document [docx]
Download: docx | pdf




TECHNICAL SESSION EVALUATION AND FEEDBACK


Our goal is to make each RIC better than the last. Please help us achieve our goal by taking a moment to evaluate this session.


Session Number and Title:

SECTION 1 – PANEL SUMMARY - Please indicate the quality of each speaker and presentation based on the descriptors listed below. Scoring: 5-Excellent, 4-Very Good, 3-Good, 2-Fair, 1-Poor



SPEAKER #1 NAME:__________________________

____ Knowledge of Subject Matter

____ Objectivity and Perspective

____ Quality of Content

____ Effectiveness of Materials (Slides)

____ Delivery of Presentation

____ Value Added to Q/A Portion



SPEAKER #2 NAME:__________________________

____ Knowledge of Subject Matter

____ Objectivity and Perspective

____ Quality of Content

____ Effectiveness of Materials (Slides)

____ Delivery of Presentation

____ Value Added to Q/A Portion



SPEAKER #3 NAME:__________________________

____ Knowledge of Subject Matter

____ Objectivity and Perspective

____ Quality of Content

____ Effectiveness of Materials (Slides)

____ Delivery of Presentation

____ Value Added to Q/A Portion



SPEAKER #4 NAME:__________________________

____ Knowledge of Subject Matter

____ Objectivity and Perspective

____ Quality of Content

____ Effectiveness of Materials (Slides)

____ Delivery of Presentation

____ Value Added to Q/A Portion



SPEAKER #5 NAME:__________________________

____ Knowledge of Subject Matter

____ Objectivity and Perspective

____ Quality of Content

____ Effectiveness of Materials (Slides)

____ Delivery of Presentation

____ Value Added to Q/A Portion



SPEAKER #6 NAME:__________________________

____ Knowledge of Subject Matter

____ Objectivity and Perspective

____ Quality of Content

____ Effectiveness of Materials (Slides)

____ Delivery of Presentation

____ Value Added to Q/A Portion






SECTION 2 – SESSION SUMMARY - Please check the response that most accurately reflects your opinion below:


1. The topic and content are relevant to the needs and interests of RIC attendees.

_ Strongly Agree _ Agree _ Neutral _ Disagree _ Strongly Disagree


2. The session description accurately reflects the proposed content.

_ Strongly Agree _ Agree _ Neutral _ Disagree _ Strongly Disagree


3. The program format is appropriate for subject matter.

_ Strongly Agree _ Agree _ Neutral _ Disagree _ Strongly Disagree


4. I personally benefited from the information presented during this session and will be able to apply the knowledge gained to the work I perform on a daily basis.

_ Strongly Agree _ Agree _ Neutral _ Disagree _ Strongly Disagree


SECTION 3 – EXECUTION OF THE SESSION - Please check the response that most accurately reflects your opinion below:



The Session Chair and Session Coordinator were effective in coordinating the speakers and presentations, arranging the panel discussion, and facilitating questions and answers from the audience.

_ Strongly Agree _ Agree _ Neutral _ Disagree _ Strongly Disagree


SECTION 4 – COMMENTS - In the space below, please note any additional comments or suggestions you may have related to this session.


_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________



Our goal is to make each RIC better than the last, and your feedback is important to us. Thank you for taking

the time to complete this evaluation. Please place it in one of the evaluation drop-off boxes located throughout the conference center, take it to the registration service desk, or hand it to one of the RIC volunteers.




Shape1

The estimated burden to respond to this voluntary information collection is 10 minutes. The information provided will be used to determine areas of improvement for future conferences. If a means used to impose an information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person not required to respond to, the information collection.

OMB NO. 3150-0217 EXPIRES: JANUARY 31, 2017


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLPP
File Modified0000-00-00
File Created2021-01-28

© 2024 OMB.report | Privacy Policy