Exit Survey

Program Services Evaluation Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0252 can be found here:

Documents and Forms

Document Name Document Type
Form OA4 Exit Survey Form and Instruction
OA4 Exit Survey 3206-0252_Exit Survey.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Exit Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OA4	Exit Survey	3206-0252_Exit Survey.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.