| 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 |