3.Of the total number of surveys returned, indicate how many

individual rated their overall satisfaction with CAP in the

following ways: (Total for this entire question can not exceed the

a. Very 21

b. 5

c. Not 2

4.Of the total number of surveys returned, indicate whether the

individual served would use CAP again: (Total cannot exceed on

a. Use CAP 1

b. Use CAP 27

PART 3. NARRATIVE

(Attach separate sheet(s)) Refer to page 16-19 of the instructions for guidelines on the contents

of the narrative.

________________________________________________________________________

Within 90 days after the end of the fiscal year covered by this reprot, mail one copy of this report

to the RSA Reginal Office and one copy to the RSA Central Office specified in the istructions.

______________________________________________________________________

Signature and title of designated agency Date




Paperwork Burden Statement: According to the

Paperwork Reduction Act of 1995, no persons are required to respond to a collection of

information unless such collection displays a valid OMB control number. The valid OMB

control number for this information collection 1820-0528. The time required to complete

this information collection is estimated to average 6.25 hours per response, including the

time to review instructions, search existing data resources, gather the data needed, and

complete and review the information collection. If you have any comments concerning the

accuracy of the time estimate of suggestions for improving this form, please write to: U.S.

Department of Education, Washington, DC 20202-4651. If you have comments or concerns

regarding the status of your individual submission of this form. Write directly to:

OSERS/RSA/FMISS, U.S. Department of Education, 400 Maryland Avenue, S.W., Room

3030 MES, Washington, DC 20202-2703.

Annual Client Assistance Program (CAP Page 4 of 4

Form RSA-227

programs

counselor
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