OMB Control Number: 2528-0325 (Exp. 06/30/2020)
Paperwork Reduction Act Burden: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This collection of information is optional and will assist HUD to improve the quality, relevance, and delivery of technical assistance resources. The total time required to complete this survey is estimated to average 15 minutes, including the time to review instructions, gather the data needed, and complete and review the survey. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Housing and Urban Development, Technical Assistance Division, 451 7th Street SW, Room 7218, Washington, D.C. 20410.
Privacy Act Statement: The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with the request for information solicited on this form. Accordingly, pursuant to the requirements of the Act, please be advised:
Authorization: This collection of information is authorized under Sec. 501 of Title V of the Housing and Urban Development Act of 1970, Public Law 91-609.
Purpose: This collection of information is necessary to systematically gather user feedback and outcomes data to evaluate and improve HUD’s deployment and management of its technical assistance resources.
Uses: Any information collected may be seen and used by HUD staff and TA providers to help improve HUD’s delivery of technical assistance.
Disclosure: Voluntary. This information collection is entirely voluntary. Any information collected in this information collection may be shared with HUD staff, TA providers, stakeholders, Congress, and the public. Other than professional or business contact information, please do NOT include any personally-identifiable information in your survey response.
HUD DIRECT TA SURVEY: TA PROVIDER VERSION
Your
organization, [TA PROVIDER], recently provided HUD-funded technical
assistance to [TA RECIPIENT ORGANIZATION(S)] under Work Plan [WORK
PLAN NUMBER].
[The following description will be pre-filled for the respondent when they receive the survey.]
TECHNICAL
ASSISTANCE ENGAGEMENT DETAILS
TA RECIPIENT ORGANIZATION(S): __________________________________________________________________________________
PERIOD OF PERFORMANCE: _XX/XX/XXXX – XX/XX/XXXX_
WORK PLAN #: _______________________________________________________________________________________________________
ADDITIONAL TA PROVIDER(S) INVOLVED IN THIS TA ENGAGEMENT: ___________________________________________
TA DESCRIPTION: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
We
would like to ask you a few questions regarding your experience with
this specific engagement and your impression of the effectiveness of
the TA.
Before proceeding, please confirm that you were directly involved in
this TA program and feel qualified to provide general feedback
on the Direct TA engagement, including questions about how well
it met intended outcomes.
Yes, I was directly involved in this TA program and feel qualified to answer this survey.
No, I am not the right person to participate in this survey.
IF RESPONSE = NO, I am not the right person to participate in this survey; Please enter the name and email for an individual who had direct experience with the technical assistance provided and whom would be qualified to answer questions regarding achievement of intended outcomes and general feedback.
The correct respondent is:
[NAME]________________________________________
___________________________ [EMAIL]________________________________________
Please complete this survey by [DATE].
If you have any questions while taking this survey, please contact communitycompass@hud.gov.
Note: Please do not use the "Back" or "Forward" buttons on the top of your browser while in the survey. By doing so, the survey will not work properly, and your responses will not be saved.
How satisfied were you with the following TA elements:
Direct TA Elements |
Very Dissatisfied |
Dissatisfied |
Satisfied |
Very Satisfied |
I don’t know |
Length of TA Engagement |
☐ |
☐ |
☐ |
☐ |
☐ |
Level of TA Support Provided |
☐ |
☐ |
☐ |
☐ |
☐ |
Focus of the TA Engagement |
☐ |
☐ |
☐ |
☐ |
☐ |
Coordination among parties, including the TA recipient(s), TA provider(s), and HUD/Field Office staff |
☐ |
☐ |
☐ |
☐ |
☐ |
Other, please specify: _________________________________________________________________________________________________________ |
☐ |
☐ |
☐ |
☐ |
☐ |
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
[This section comes pre-filled for the survey respondent; Questions 2-5 will be asked for each Outcome]
[List HUD Outcomes and TA provider-supplied outcome descriptions in table format]
○ 100%-Outcome fully achieved ○ 80% ○ 60% ○ 40% ○ 20% ○ 0%-Outcome was not achieved ○ I don’t know
[Note: This is a skip pattern question (dependent on score of 20-100% on Question 2)]
☐ Guidance or support provided directly by HUD
☐ Increase in funding or revenue dedicated to the area
☐ Increase in number of staff assigned to work in that area
☐ New organizational structure or new/increased leadership support for the area
☐ New political leadership
☐ Improvement in local economy or other external factors
☐ Other, please specify: ________________________________________________________________________________________
☐ I don’t know
☐ Very Likely
☐ Likely
☐ Unlikely
☐ Very Unlikely
☐ I don’t know/ Not applicable
[Note: This is a skip pattern question (dependent on score of 0-80% on Question 2)]
☐ Engagement Scope was not adequate (e.g. period of support, level of support, focus of the engagement)
☐ Guidance provided directly by HUD was not adequate (please explain specific concern in the comments section)
☐ HUD response to the TA request was not adequate (e.g., delays in approving TA assignment, workplan or amendments)
☐ Level of engagement of recipient staff was not adequate
☐ Turnover in recipient staff or leadership
☐ Insufficient number of recipient staff available
☐ Inadequate support from recipient leadership/ management
☐ Decrease in or insufficient political support
☐ Decrease in funding or revenue dedicated to this area
☐ Decline in economy or other external factors
☐ Other, please specify: _______________________________________________________________________________________
☐ I don’t know
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
☐ Yes
☐ No
☐ I don’t know
Please explain your response: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please provide any recommendations for ways to improve HUD’s technical assistance program: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Outcome
Outcome
Description
Improved
capacity to design system-wide strategies that address community
needs
(e.g.,
designed innovative multi-disciplinary strategies, designed
coordinated place-based development to leverage neighborhood
impacts)
Provide
Technical Assistance and Capacity Building to the Puerto Rico
Public Housing Administration and the Puerto Rico Department of
Housing to include: preparation of a redevelopment/Repositioning
Plan for the 9 priority sites identified by PRPHA and HUD and to
provide recommendations for prioritizing modernization and
development projects.
☐ 100% -Outcome was fully achieved
☐ 80%
☐ 60 %
☐ 40%
☐ 20%
☐ 0%-Outcome was not achieved
☐ I don’t know
Outcome
Outcome
Description
Improved
coordination and alignment with other community or regional plans
(e.g.,
HUD plans aligned with plans of other HUD or federal programs,
local and regional government agencies, service providers, or
nonprofit organizations)
Provide
Technical Assistance and Capacity Building to the Puerto Rico
Public Housing Administration and the Puerto Rico Department of
Housing to include: recommendations regarding PRPHA's Five (5)
Year Plan, including alignment with the strategic plan from
regional advisory board and the city’s Five (5) Year Plan.
☐ 100%-Outcome was fully achieved
☐ 80%
☐ 60%
☐ 40%
☐ 20%
☐ 0%-Outcome was not achieved
☐ I don’t know
EXAMPLE SURVEY QUESTION 2 –
TA PROVIDER RESPONDENT VIEW
SURVEY QUESTION 2: PROGRESS TOWARD ACHIEVING
SELECTED OUTCOME(S)
To what extent has the TA recipient organization
[improved capacity to design system-wide strategies that address
community needs]?
To what extent has the TA recipient organization
[improved coordination and alignment with other community or
regional plans]?
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Steven Shepherd |
File Modified | 0000-00-00 |
File Created | 2024-07-24 |