C Attachment C - List of Analytic Experts Survey

OMB No. 0915-0212

Expiration: 07/31/2021

Public Burden Statement: The purpose of this information collection is to assess end user satisfaction with technical support provided. The information will be used to improve future support provided. An agency 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. The OMB control number for this information collection is 0915-0212 and it is valid until 07/31/2021. This information collection is [voluntary; mandatory (cite authority); or required to obtain or retain a benefit (cite authority)]. [If this information collection includes information protected by any form of confidentiality then explain this confidentiality and cite the authority.] Public reporting burden for this collection of information is estimated to average xx hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or paperwork@hrsa.gov.

List of Analytic Experts Satisfaction Survey

Thanks for working with our team on the MIECHV Developing Strategies to Facilitate Cross-Model Collaboration and Data Sharing project (MODS).

Your model recently received a list of analytic experts offered by the MODS team to help you conduct research using your data. We would like to get feedback on the list of analytic experts provided. This survey will only take about five minutes and will be used to improve the resources developed by the MODS Team. If you do not feel you can complete the survey, please forward it to the appropriate colleague. The responses to this survey are confidential. If you have any questions about this survey, please feel free to contact Yuko Ekyalongo at yekyalongo@childtrends.org or 612-223-3331 ex. 23.

BASIC INFORMATION

Today's date

Please identify the model you are affiliated with. ChildFirst EHS

Family Check-Up Family Connects Family Spirit HFA

HIPPY NFP PAT

SafeCare

Other (please specify)

If you selected "Other", please specify the model's name.

LIST OF ANALYTIC EXPERTS

How likely will your model consult any experts on the Very likely list? Likely

Unlikely Very unlikely Not sure

Any additional comments or feedback about strengths or ways to improve the list of analytic experts?

SUGGESTIONS FOR ADDITIONAL SUPPORT

Do you have any suggestions for additional support you would like to receive to conduct research using your data?