ORR-6 Schedule D

Schedule D: Refugee Support Services (RSS) Set-Asides

ORR-6 OMB Control No. 0970-0036 Expires 02/28/2022

1. Program Name:

2. Reporting Period:

3. Fiscal Year:

4. State/Grantee:

5. Date:

A. Type of the Participant

M

F

Total Year-To-Date Unduplicated

1. Eligible Refugee Students (RSI)

0

2. Eligible Refugee Parents (RSI)

0

3. Eligible Older Refugees (SOR)

0

4. Eligible Youth Mentees (YM)

0

5. Eligible Refugee Health Promotion Recipients (RHP)

0

B. Primary Contracted Service Provider

M

F

Total Year-To-Date Unduplicated

1. School (Grade K-5)

0

2. School (Grade 6-8)

0

3. School (Grade 9-12)

0

4. Resettlement Agency

0

5. Area Agency on Aging

0

6. Other Local Agency (provide type/name of agency)

0

7. Other Local Agency (provide type/name of agency)

0

8. Other Local Agency (provide type/name of agency)

0

C. Completions by Type

M

F

Total Year-To-Date Unduplicated

1. Parent/Student Orientation (RSI)

0

2. Grade Promotion (RSI)

0

3. SSI (SOR)

0

4. Citizenship (SOR)

0

5. Other completion (provide type)

0

6. Other completion (provide type)

0

7. Other completion(provide type)

0

D. TRENDS

1. Analyze and reflect on the data reported in sections A-C. Report overall observations in data trends and explain anomalies in data, including trends based on new program components and/or initiatives.