Early Exit Survey

Evaluation of Public Health AmeriCorps

OMB: 3045-0199

IC ID: 264739

Information Collection (IC) Details

View Information Collection (IC)

Early Exit Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 01 Member Alumni Survey and Early Exit Survey 01-Alumni and Early Exit Survey.docx MyAmeriCorps.gov Yes Yes Fillable Fileable

Community and Social Services Social Services

 

443 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 443 0 0 0 0 443
Annual IC Time Burden (Hours) 443 0 0 0 0 443
Annual IC Cost Burden (Dollars) 20,980 0 0 0 0 20,980

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