Repatriation Post-Training Survey

OMB Control No:	0970-0474
Expiration Date:
Estimated Burden:	10 minutes

U.S. Repatriation Program – Post-Training Survey

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to determine eligibility for temporary assistance under the U.S. Repatriation Program during an emergency repatriation. Public reporting burden for this collection of information is estimated to average 0.2 hours per respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This collection of information is required to obtain a benefit (42 U.S.C. Section 1313). 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. The OMB # is 0970-0474 and the expiration date is xx/xx/xxxx. If you have any comments on this collection of information, please contact the U.S. Repatriation Program, 330 C St. SW, Washington, D.C. 20201.

Name of Training: Date of Training:

Section I. Participant Demographics

Participant Type (select):

• Federal

• State/Territorial

• County

• Non-governmental

1. Do you currently have a role in routine or non-emergency repatriation operations?

2. If you answered yes to question 1, how many years have you been in your position?

3. Do you currently have a role in emergency repatriation planning and/or operations?

4. If you answered yes to question 3, how many years have you been in your position?

Section II. Training Evaluation

5. Did the training meet your expectations? (Rate 1-5)

6. Was the training relevant to your position? (Rate 1-5)

7. Was the training program interactive and engaging? (Rate 1-5)

8. How would you rate the quality of this training session? (Rate 1-5)

9. Was the material easy to understand? (Rate 1-5)

10. Did you experience any technical issues? (Y/N) If yes, please explain.

11. Please rate the quality of the multimedia (audio, video, and animation) (Rate 1-5)

12. In what ways could the multimedia used on this course be improved. Please explain.

13. Do you have any suggestions that can help us improve the training? Please provide examples.

14. What are the key topics about the U.S. Repatriation Program you want to learn more about? [open text]