Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Table 1 Count of Infant and Toddlers Served	Unchanged	56	1956	0	Other-
					Instruction
					Form and Instruction	N/A	Early Intervention Services in Accordance with Part C Table 1-RE5
					Form and Instruction	N/A	Early Interventio Services in Accordance with Part C Table 1-RE7
Table 2 Settings	Unchanged	56	1528	0	Other-
					Instruction
					Form and Instruction	N/A	Report of Prog. Settings Where Early Interven. Services Table 2-RE5
					Form and Instruction	N/A	Report of Prog. Settings Where Early Intervention Services are Provided to Children Table 2-RE7
Table 3 Exiting	Unchanged	56	3085	0	Other-
					Instruction
					Form and Instruction	N/A	Report on Infants and Toddlers Exiting Part C Table 3-RE5
					Form and Instruction	N/A	Report on Infants and Toddlers Exiting Part C Table 3 RE7
Total burden requested under this ICR:		168	6569	0
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