National Center on Early Childhood Quality Assurance Feedback Surveys for Training and Technical Assistance Activities

OMB #: 0970-0401

Expiration Date: 6/30/2024

Standard Webinar Survey

During webinar 

At the beginning of the webinar ask:

Please select the role that fits you best: [roles may change depending on target audience for webinar]

• Community member 

• Direct child-serving practitioner (e.g., child care, preschool, home visiting, teacher) 

• Family member 

• State government professional 

• State level professional (not state government)

• Training and technical assistance professional

• Other. Please describe: _________________________________________ 

During the Webinar at key moments (timing is up to the developers/presenters), embed these questions: 

After a key concept is presented in a segment: How much was your understanding or awareness of [INSERT THE ONE MOST IMPORTANT LEARNING OBJECTIVE OR KEY TAKE AWAY MESSAGE] improved? 

• Not improved 

• A little improved 

• Moderately improved 

• Significantly improved 

After strategies or recommended practices are presented: How likely will you use at least one of these strategies or practices: 

• Won’t 

• Probably not

• Will consider

• Definitely 

At the end of the webinar post:

Are there other webinar topics that would be useful to you? 

PAPERWORK REDUCTION ACT OF 1995 (Public Law 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to collect feedback from recipients participating in Training and Technical Assistance (T/TA) activities provided by the National Center on Early Childhood Quality Assurance (NCECQA). The public reporting burden for this collection of information is estimated to average 3 minutes 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. The OMB # is 0970-0401 and the expiration date is 6/30/2024. If you have any comments on this collection of information, please contact Leatha Chun at leatha.chun@acf.hhs.gov.