OMB No: 0906-0084
Expiration date: 02/28/2027
TARC General Meeting Poll
Public Burden Statement: The purpose of this information collection request is to assess participant satisfaction with various training and TA activities offered through a contracted TA provider, the Education Development Center. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0906-0084 and is valid until 02/28/2027. This information collection is voluntary. All responses will be aggregated and respondents will remain confidential. Public reporting burden for this collection of information is estimated to average .03 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Information Collection Clearance Officer, 5600 Fishers Lane, Room 14N39, Rockville, Maryland, 20857 or paperwork@hrsa.gov.
When would you like to meet again? Please select the [day/time] that works best for you.
Day/Time
Day/Time
Day/Time
What topics would you like to learn more about during our next call?
Response option a (To be taken from the content of the call)
Response option b (To be taken from the content of the call)
Other, please explain:
How can we improve our calls [I.e., office hours, one-on-one check-ins]? [Open text]
Plus (What’s going well?)
Delta (How can we improve?)
Questions (What lingering questions do you have?)
What content/topic/concept, if any, from this call would you like us to revisit on a future call?
Response option a (To be taken from the content of the call)
Response option b (To be taken from the content of the call)
Other, please explain:
How can we better incorporate diversity, equity, and inclusion into these calls? [Open text]
How did you learn about [TA product]?
MIECHV TARC product, such as a webinar, newsletter, or office hours
From my TA specialist or other MIECHV TARC staff
From my colleague
Other, please explain:
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Kim, Soohyun (HRSA) |
File Modified | 0000-00-00 |
File Created | 2024-07-22 |