Information Collection

Attachment A.2.5 Screenshots Exit Graduate Student Survey

IC 215732 under ICR 201503-0925-001 · OMB 0925-0718.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 Exit Graduate Student Survey Attachment A.2.5 Screenshots Exit Graduate Student Survey	Form and Instruction
3 Exit Graduate Student Survey A.2.5-Screenshots Exit Graduate Students.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,012

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,012	3,012
Annual IC Time Burden (Hours)	753	753
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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