National Center on Early Childhood Quality Improvement Feedback Surveys

Sample Discussion Prompt Collection Form OMB #: 0970-0401

Expiration Date: 5/31/2027

National Center on Early Childhood Quality Assurance

Sample Discussion Prompt Collection Form

These questions may be asked to solicit customer feedback during the National Center on Early Childhood Quality Assurance’s training or webinars.

[In-Meeting] Survey

At the beginning of the meeting, ask the question:

• What are you most interested in learning about (this specific topic)?

  • Open response

Midway through the meeting, ask the question:

• Is your state, territory, or Tribe currently engaged in an initiative around [subject]?

• Yes

• No

Near the end of the meeting, ask the question:

• How will you use the content covered today?

  • Open response

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 5/31/2027. If you have any comments on this collection of information, please contact carol Hartman at Carol.Hartman@icf.com.