Information Collection

Instrument 2 - Participant Exit Survey

IC 236137 under ICR 202110-0970-010 · OMB 0970-0536.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0536 can be found here:

Documents and Forms

Document Name Document Type
Instrument 2_SRAE HS Exit Survey_0825_clean.docx Other-High School Exit Survey
Instrument 2_SRAE HS Exit Survey_0825_clean.docx Other-High School Exit Survey
Instrument 2a_SRAE MS Exit Survey_0825_clean.docx Other-Middle School Exit Survey
Instrument 2a_SRAE MS Exit Survey_0825_clean.docx Other-Middle School Exit Survey
Instrument 2b_SRAE IMPACT HS Exit Survey_0825_clean.docx Other-High School Exit Survey (Short
Instrument 2b_SRAE IMPACT HS Exit Survey_110321_clean.docx Other-High School Exit Survey (Short
Instrument 2c_SRAE IMPACT MS Exit Survey_0825_clean.docx Other-Middle School Exit Survey (Sho
Instrument 2c_SRAE IMPACT MS Exit Survey_110321_clean.docx Other-Middle School Exit Survey (Sho

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Instrument 2 - Participant Exit Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-High School Exit Survey	Instrument 2_SRAE HS Exit Survey_0825_clean.docx	Yes	Yes	Fillable Fileable
Other-Middle School Exit Survey	Instrument 2a_SRAE MS Exit Survey_0825_clean.docx	Yes	Yes	Fillable Fileable
Other-High School Exit Survey (Short Version)	Instrument 2b_SRAE IMPACT HS Exit Survey_110321_clean.docx	Yes	Yes	Fillable Fileable
Other-Middle School Exit Survey (Short Version)	Instrument 2c_SRAE IMPACT MS Exit Survey_110321_clean.docx	Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 287,508	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	287,508	-59,020	346,528
Annual IC Time Burden (Hours)	47,928	-44,491	92,419
Annual IC Cost Burden (Dollars)	0	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.