A growing number of international donors and assistance agencies have made commitments to improve the quality and accountability of aid efforts by listening to the voices of recipients and affected populations. To this end, a number of international and local organizations are currently working to develop and improve their recipient feedback processes. In early 2011, CDA Collaborative Learning Projects conducted research on how recipient feedback is gathered and utilized to inform decision-making in international assistance efforts. This report presents the findings gathered through desk research and interviews with key informants in international humanitarian and development agencies.