Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Table 1 Count of Infant and Toddlers Served Removed 0 0 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 1 RE5 Report of Children Receiving Early Intervention Services in Accordance with Part C New 56 1836 0 Form and Instruction N/A Table 1 RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance)
Form and Instruction N/A Table 1-RE7 (for reporting race/ethnicity according to new 2007 guidance)
Table 2 Report of Program Settings Where Early Intervention Services are Provided to Children with Disabilties and Their Families in accordance with Part C New 56 1336 0 Form and Instruction N/A Table 2 RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance)
Form and Instruction N/A Table 2 RE7 (for reporting race/ethnicity according to new 2007 guidance)
Table 2 Settings Removed 0 0 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 Removed 0 0 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
Table 3 RE5 Report on Infants and Toddlers Exiting Part C New 56 2815 0 Form and Instruction N/A Table 3 RE5 (5 race/ethnicity reproting categories as used prior to 2007 guidance)
Form and Instruction N/A Table 3 RE7 (for reporting race/ethnicity according to new 2007 guidance
Total burden requested under this ICR: 168 5987 0  
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