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Federal forms, ICRs, and supporting documents

Information Collection

Instrument 2 - Participant Exit Survey

IC 236137 under ICR 202512-0970-004 · OMB 0970-0536.

Documents and Forms
Document Name
Document Type
Other-Current Participant Exit Surve
Other-Current Participant Exit Surve
Other-2026 Participant Exit Survey f
Other-2026 Participant Exit Survey f
Other-Current Participant Exit Surve
Other-Current Participant Exit Surve
Other-2026 Participant Exit Survey f
Other-2026 Participant Exit Survey f
Information Collection (IC) Details

View Information Collection (IC)

Instrument 2 - Participant Exit Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Current Participant Exit Survey for high school and older youth Instrument 2a (Current) Participant Exit Survey for high school and older youth.docx Yes Yes Fillable Fileable
Other-2026 Participant Exit Survey for high school and older youth Instrument 2a (Implement 2026) Participant Exit Survey for high school and older youth_clean.docx Yes Yes Fillable Fileable
Other-Current Participant Exit Survey for middle school youth Instrument 2b (Current) Participant Exit Survey for middle school youth.docx Yes Yes Fillable Fileable
Other-2026 Participant Exit Survey for middle school youth Instrument 2b (Implement 2026) Participant Exit Survey for middle school youth_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

491,124 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 163,706 0 -207,410 0 0 371,116
Annual IC Time Burden (Hours) 20,469 0 -41,397 0 0 61,866
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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