Information Collection

Exit Survey Part 1 Alumni Network Survey

IC 236240 under ICR 202204-0925-002 · OMB 0925-0762.

Documents and Forms

Document Name Document Type
Form 2 Exit Survey Part 1 Alumni Network Survey Form and Instruction
2 Exit Survey Part 1 Alumni Attachment 2a - Exit Survey Part 1 .pdf Form and Instruction
2 Exit Survey Part 1 Alumni Attachment 2a - Exit Survey Part 1 .pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Exit Survey Part 1 Alumni Network 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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	Exit Survey Part 1 Alumni	Attachment 2a - Exit Survey Part 1 .pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: #09â25â0014, âClinical Research; Student Records, HHS/PHS/NIH/OD/OIR/OE	FR Citation: 67 FR 60742

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

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	42	42
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.