The federal government funds grant programs designed to help youth avoid or reduce the risks associated with sexual initiation. In support of this approach, the Family and Youth Services Bureau within the Administration for Children and Families (ACF) began funding General Departmental Sexual Risk Avoidance Education (SRAE) grants in 2016. ACF awarded Mathematica a contract for the SRAE National Evaluation (SRAENE) in 2018. SRAENE has three distinct activities: (1) the National Descriptive Study (NDS); (2) the Program Components Impact Study; and (3) Data and Evaluation Support. The goal of the NDS is to tell the story of the SRAE grant program and point the way toward promising practices. The NDS has two study components, the Early Implementation Study (EIS) and the Nationwide Study (NWS). The NWS builds on the findings from the EIS, which gathered information from SRAE program grant recipients in 2020. This report focuses on the findings related to understanding program implementation experiences. The SRAENE team collected data through online surveys to discover what grant recipients' and providers' experiences are in delivering SRAE curricular content, what youths' experiences are in receiving SRAE curricular content, and how grant recipients and providers interpret, understand, and address the six topics required by the legislation (referred to as the A-F requirements). The results presented in this report reflect SRAE programming offered by grant recipients, providers, and facilitators who had SRAE funding and were delivering SRAE programming at the time of NWS survey administration during the 2022-2023 school year. Key findings include: (1) State programming offered in 2022-2023 is consistent with the plans the Title V State SRAE grant recipients shared in 2020; (2) the most prevalent curricula among state grant recipients are still the Teen Outreach Program, Making a Difference, Choosing the Best, and REAL Essentials; (3) overall, facilitators and providers reported that their SRAE programming meets the needs of most youth, and that they think the SRAE curricular content is age appropriate; (4) most Title V State grant recipients reported that staff at their organization, parents and guardians, and the broader community were supportive of their SRAE curricular content, and providers and facilitators reported that implementation site staff were supportive of the SRAE curriculum; (5) youth participants felt that SRAE curricular content was relevant and engaging, but some wanted more information on specific topics; and (6) most Title V State grant recipients have not changed their understanding of or emphasis on program content that addressed the A-F requirements in the legislation since the start of their grant.