Comprehensive Child Welfare Information System (CCWIS) Technical Assistance and Webinar Satisfaction Survey

OMB #: 0970-0401

Expiration Date: June 30/2024

DSS CCWIS Participant Survey (Draft – September 29, 2021)

At the end of a webinar participants will be directed to click on the Participant Survey – Once they click, they get to a Survey page containing the following:

Thank you for your time attending today’s CCWIS Webinar and for your valuable feedback!!!

The survey will take no more than 5 minutes to complete and the results will be used to improve technical assistance and webinar content to support agencies who are building child welfare information systems.

• All the questions are voluntary, and

• Your responses are anonymous.

Please indicate the degree to which you agree or disagree with the following statements.

Statements (Please make one selection):	Agree	Neutral	Disagree
Webinar Content: The webinar content was presented clearly.
Presenter(s): The presenter(s) was/were well-prepared.
Applicable to Work: I will be able to apply what I learned to my current work.
My Knowledge: The webinar improved my knowledge on the topic.
Overall Satisfaction: I was satisfied with the overall quality of this webinar.

6. What do you suggest for future webinar topics? _____________________________________________ (write a response)

7. Do you have additional feedback regarding the webinar(s)? ____________________________________ (write a response)

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: Through this information collection, ACF is gathering information to ensure webinar and technical assistance content meets the needs of states and tribes who are building child welfare information systems. The purpose of this information collection is to assess the quality of technical assistance provided by the Division of State Systems. Public reporting burden for this collection of information is estimated to average 5 minutes per response. We estimate participation in about 12 webinars per year, for a total estimated response time of 1 hour per respondent annually. Burden estimates include the time to review instructions, gather and maintain the data needed, and review the collection of information. This is a voluntary collection of information. agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0401 and the expiration date is 06/30/2024. If you have any comments on this collection of information, please contact Tresa Young, Division of State Systems, Children’s Bureau, Administration for Children and Families at “tresa.young@acf.hhs.gov”