ORR-6 Schedule D

Schedule D: Refugee Support Services (RSS) Set-Asides (report on a separate form for each set-aside)			ORR-6 OMB Control No. 0970-0036 Expires xx-xx-xxxx
1. Program Name:
2. Reporting Period:		3. Fiscal Year:
4. State/Grantee:		5. Date:
A. Type of the Participant		M	F	Total Year-To-Date Unduplicated
1. Eligible Refugee Students (RSI)				0
2. Eligible Refugee Parents (RSI)				0
3. Eligible Older Refugees (SOR)				0
4. Other (provide type of client)				0
5. TOTAL				0
B. Primary Contracted Service Provider		M	F	Total Year-To-Date Unduplicated
1. School (Grade K-5)				0
2. School (Grade 6-8)				0
3. School (Grade 9-12)				0
4. Resettlement Agency				0
5. Area Agency on Aging				0
6. Other Local Agency (provide type/name of agency)				0
7. Other Local Agency (provide type/name of agency)				0
8. Other Local Agency (provide type/name of agency)				0
9. TOTAL				0
C. Completions by Type		M	F	Total Year-To-Date Unduplicated
1. Parent/Student Orientation (RSI)				0
2. Grade Promotion (RSI)				0
3. SSI (SOR)				0
4. Citizenship (SOR)				0
6. Other completion (provide type)				0
7. Other completion (provide type)				0
8. Other completion(provide type)				0
9. TOTAL UNDUPLICATED				0
D. TRENDS
1. Analyze and reflect on the data reported in sections A-C. Report overall observations in data trends and explain anomalies in data.