1. If you recently received a form with a Priority Code, please enter the code here. 2. In lieu of a signature, we require a personal identifier. To verify that you submitted this subscription request, please enter the month in which you were born. *3. First Name *4. Last Name *5. Title *6. Organization *7. Organization Address (street address, city, state, zip) *8. E-mail address *9. Telephone (with area code) 10. Please indicate your branch of federal government or other type of business at your location. Select Answer Dept of Defense: Air Force Dept of Defense: Army Dept of Defense: Navy Dept of Defense: Other DOD (includes DISA) Federal: Office of the President Federal: Office of Mgmt & Budget Federal: Dept of Agriculture Federal: Dept of Commerce/NIST Federal: Dept of Education Federal: Dept of Energy Federal: Army Corps of Engineers Federal: Dept of HHS Federal: Dept of HUD Federal: Dept of Interior Federal: Dept of Justice Federal: Labor Federal: Dept of State Federal: Dept of Transportation Federal: FAA Federal: Veterans Affairs Federal: Dept of Treasury Federal: Dept of Homeland Security Federal Independent Agencies: GSA Federal Independent Agencies: NASA Federal Independent Agencies: EPA Federal Independent Agencies: TVA Federal Independent Agencies: SSA Federal Independent Agencies: USPS Federal Independent Agencies: NSF Federal Independent Agencies: National Security Related Org Federal Independent Agencies: FEMA Federal Gov't Suppliers: Sys Integrator/Developer/VAR Federal Gov't Suppliers: Mfgr of Computers/Equipment Federal Gov't Suppliers: Retailer/Dealer/Distributor Federal Gov't Suppliers: Computer/IT Consultant Federal Gov't Suppliers: Other 11. How many people are employed at your department/agency location? Select Answer Over 1,000 500 - 999 100 - 499 50 - 99 1 - 49 Don't know 12. What is your primary job function? Select Answer Executive Management Senior Management Director Manager/Supervisor IT Staff Other 13. Select the category that best describes your job function. (If military, please select closest equivalent.) Select Answer C-Level Management: CIO, CSO, COO, CEO, CFO, etc. Executive/senior/agency/subagency management Program/project management Administration/operations management Computer/communications/network management Systems analysis/programming/applications development Systems engineering/integration/technical services Procurement/purchasing management Personnel/training management Legal/legislative Other 14. If you answered "Other" to question #13, please indicate the category that best describes your job function. 15. What types of technology products are used at your department/agency? (Select all that apply.) 16. When your organization purchases computer technology products or services, what is your primary role in the purchasing process? Select Answer Set goals/strategy/budget Evaluate/select technology/suppliers/partners Approve/authorize IT investments/partnerships Manage IT projects Results-oriented monitoring/project efficiency Other Not involved 17. What is the scope of your computer technology purchase authority? Select Answer Entire department More than one department Entire agency Other Not involved 18. Which of the following products, services and/or technologies do you personally plan, approve, specify, recommend, purchase or influence? 19. Please indicate the combined value of technology products and services that you personally recommend, specify, purchase or approve during the fiscal year. Select Answer $25 million plus $10 million to $24.9 million $5 million to $9.9 million $1 million to $4.9 million $500,000 to $999,000 $100,000 to $499,000 $50,000 to $99,000 Less than $50,000 None 20. Please indicate the number of employees these products and services support. 21. Please select your top two suppliers of computer technology products and services. 22. Do you read any of the following publications? (Select all that apply.) 23. Please tell us your favorite publication. (Note: you are not limited to publications on the list above.) 24. For questions 24 to 28, please rank the importance of the following sources for IT and management information. Not At All Important 25. Internet/Online Sources Not At All Important 26. Publications Not At All Important 27. Peers Not At All Important 28. Vendors Not At All Important 29. Please let us know what topics you would like to see covered in future issues of FedTech. 30. Would you like to be contacted by a FedTech reporter for topic suggestions and/or an interview for upcoming articles?
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