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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
#1. Household Screener
New
79818
7982
0
Other-#1. Household Screener
#2. Household Interview
New
15586
11690
0
Other-#2. Household Interview
#3. Home-Based Provider Interview
New
10710
5355
0
Other-#3. Home-Based Provider Interview
#4. Center-Based Provider Screener
New
19211
1921
0
Other-#4. Center-Based Provider Screener
#5. Center-Based Provider Interview
New
12520
7512
0
Other-#5. Center-Based Provider Interview
#6. Classroom/Group Staff Interview
New
9390
3099
0
Other-#6. Classroom/Group Staff Interview
Total burden requested under this ICR:
147235
37559
0
To view an IC, click on IC Title