1 - Advisory Committee Feedback

NATIONAL ADVISORY
COMMITTEE FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form
In order to help National Human Trafficking Training and Technical Assistance Center (NHTTAC) better serve the National Advisory
Committee (NAC), we are reaching out to obtain your feedback. We will protect the privacy of your information in accordance with
the Federal Privacy Act, and we will protect the confidentiality of your responses using procedures we have in place, including
reporting all information in aggregate to avoid identifying information. Only members of the NHTTAC Evaluation Team have access
to information that could identify respondents. If you have any questions about this survey or the evaluation, please contact
NHTTACEval@icf.com.
Please provide the information below to create an anonymous ID:
Birth Month
(insert just the month
for your date of birth,
example: 08 for August)

First letter of first name
(example: S for Sara)

First letter of your middle name
(example: M for Maria)

1.

In the past 12 months, how many NAC meetings have you participated in?

2.

Please rate the quality of the NAC meeting(s) that you have attended.

3.

1

2

3

4

Poor

Fair

Good

Excellent

Please rate the quality of the NAC webinar(s) that you have attended.
1

2

3

4

Poor

Fair

Good

Excellent

Please indicate how well the NAC has achieved the following objectives.

OVERALL OBJECTIVES

Poor

Fair

Good

Excellent

4.

[Insert objective 1].

1

2

3

4

5.

[Insert objective 2].

1

2

3

4

6.

[Insert objective 3].

1

2

3

4

7.

[Insert objective 4].

1

2

3

4

8.

[Insert objective 5].

1

2

3

4

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is
to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting burden for this
collection of information is estimated to average 0.083 hours per respondent, including the time for reviewing instructions, gathering and
maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An 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. If you have any comments on this collection of information, please contact the
NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

NATIONAL ADVISORY
COMMITTEE FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

9.

As a result of my involvement in the NAC, I made meaningful connections with other professionals in the field of
human trafficking identification, prevention, and service provision.
1

2

3

4

Strongly
Disagree
Agree
Strongly Agree
Disagree
10. How would you describe the level of collaboration among NAC members?
1

2

3

4

Very weak

Weak

Strong

Very strong

11. How often would you like to meet in person with NAC members?

12. How would human trafficking service provision be impacted if the NAC did not exist?

13. Looking ahead, what additional activities can the NAC undertake to further collaboration and information sharing that would
be useful to members?

Please indicate the extent to which you agree or disagree with the following statements about NHTTAC’s contribution to the
NAC:
Strongly
Disagree

Disagree

Agree

Strongly
Agree

Not
Applicable

14. NHTTAC has been helpful in orienting new
members to the NAC.

1

2

3

4

NA

15. There has been good communication between
NHTTAC and the NAC.

1

2

3

4

NA

16. The information NHTTAC has shared with the
public reflects a public health approach to
addressing human trafficking.

1

2

3

4

NA

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is
to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting burden for this
collection of information is estimated to average 0.083 hours per respondent, including the time for reviewing instructions, gathering and
maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An 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. If you have any comments on this collection of information, please contact the
NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

NATIONAL ADVISORY
COMMITTEE FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form
17. NHTTAC has been supportive in meeting
planning.

1

2

3

4

NA

18. NHTTAC has been helpful through their onsite
meeting support.

1

2

3

4

NA

19. Based on your interactions with NHTTAC on the NAC, would you recommend NHTTAC to others to receive T/TA?
□ Yes

□ No

20. What do you think are the most important activities that the NAC should prioritize?

21. Please provide any comments or suggestions on how the NAC can be improved.

22. Is your agency responsible for working with people who are currently being trafficked or have been trafficked?
□ Yes

□ No

23. In your professional capacity, how frequently do you come into contact with a person who is currently being trafficked, at
risk of being trafficked, or has been trafficked?
1

2

3

4

Never

Occasionally

Frequently

All the Time

Thank you for taking the time to complete this form and helping to improve NHTTAC activities.

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is
to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting burden for this
collection of information is estimated to average 0.083 hours per respondent, including the time for reviewing instructions, gathering and
maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An 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. If you have any comments on this collection of information, please contact the
NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.