Instrument 2 - Participant Exit Survey

Sexual Risk Avoidance Education (SRAE) Performance Measures

Documents and Forms

Document Name Document Type
Instrument 2a (Current) Participant Exit Survey for high school and older youth.docx Other-Current Participant Exit Surve
Instrument 2a (Implement 2026) Participant Exit Survey for high school and older youth_clean.docx Other-2026 Participant Exit Survey f
Instrument 2b (Current) Participant Exit Survey for middle school youth.docx Other-Current Participant Exit Surve
Instrument 2b (Implement 2026) Participant Exit Survey for middle school youth_clean.docx Other-2026 Participant Exit Survey f

Information Collection (IC) Details

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-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

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 491,124	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	163,706	-207,410	371,116
Annual IC Time Burden (Hours)	20,469	-41,397	61,866
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.