Child Care State Capacity Building Center Feedback Collection for Webinars

April 2024

Feedback Form: Child Care State Capacity Building Center Webinars

TITLE OF INFORMATION COLLECTION: Child Care State Capacity Building Center Feedback on Webinars

OMB control number: 0970-0401

Expiration date: May 31, 2027

Feedback Form

Technical Assistance Activity: Child Care State Capacity Building Center Webinars

Question Number	Question/Prompt	Response Options
	During the Webinar
	Demographics The following questions aim to help SCBC better understand the diverse needs of its audience and better tailor its services.
1	At the beginning of the webinar, ask: Please select your role:	Community member Consultant (e.g., mental health, health) Direct service provider (child care staff, home visiting staff, etc.) Federal Office of Child Care staff (Central or Regional Office) Higher education professional Partner organization, government professional (not a Child Care and Development Fund [CCDF] Lead Agency) State/territory CCDF Lead Agency staff State-level coach or specialist Tribal CCDF Lead Agency staff Training and technical assistance specialist (federal/National Center staff) Training and technical assistance professional (coach, specialist, mentor, etc.) Other role (please describe):
2	How many years have you held your current role?	Less than 1 year 1–2 years 3–5 years More than 5 years
	During the webinar at key moments (timing is up to the developers/presenters), embed the following questions:
3	Before a key concept is presented in a segment: How would you rate your knowledge of [INSERT THE ONE MOST IMPORTANT LEARNING OBJECTIVE OR KEY TAKEAWAY MESSAGE] prior to today’s webinar?	1 = No knowledge 2= Minimal knowledge 3 = Moderate knowledge 4= High level of knowledge
4	After a key concept is presented in a segment: How would you rate your knowledge of [INSERT THE ONE MOST IMPORTANT LEARNING OBJECTIVE OR KEY TAKEAWAY MESSAGE] after participating in today’s webinar?	1 = No knowledge 2= Minimal knowledge 3 = Moderate knowledge 4= High level of knowledge
5	After strategies or recommended practices are presented: How will you use the strategies and resources provided in this webinar? Check all that apply.	I will share some of them with a colleague or my team. I will use some or all of them in my own work. I am already using them. I won’t use them. Other response (please describe):
	At the end of the webinar, ask some of the questions listed below:
6	How much did the event increase your knowledge of the topic(s) presented?	1 = No Increase 2 = Small Increase 3 = Moderate Increase 4 = Large Increase
7	Was the webinar content too simple, too advanced, or just about right for you?	1= Far too advanced 2 = A bit too advanced 3 = About right 4 = A bit too simple 5 = Far too simple
8	I learned something during this session that I plan to use in my work.	1 = Strongly disagree 2 = Disagree 3 = Agree 4 = Strongly agree N/A = Not applicable
10	What other topics or resources would you like to see addressed by TA?	Open-ended response
	Thank you for participating!

Paperwork Reduction Act Statement: The purpose of this information collection is to collect feedback from recipients participating in training and technical assistance activities provided by the Child Care State Capacity Building Center. Public reporting burden for this collection of information is estimated to average 2 minute 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 5/31/2027. If you have any comments on this collection of information, please contact Caroline Faux at caroline.faux@icf.com.

This document was developed with funds from contract/task order GS-00F-010CA/75ACF122F80021 for the U.S. Department of Health and Human Services, Administration for Children and Families, Office of Child Care, by the Child Care State Capacity Building Center.