Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Child roster form from Head Start staff Unchanged 40 13 0 Other-Roster Form
Classroom sampling form from Head Start staff Modified 160 27 0 Other-Sampling Form
Early care and education providers survey for Plus study (5E-Early Ed pilot) New 160 53 0 Other-Survey
Early care and education providers survey for Plus study (FPTRQ) New 80 6 0 Other-Survey
Head Start core center director survey New 120 50 0 Other-Survey
Head Start core child assessment Unchanged 1600 1200 0 Other-Child Assessment
Head Start core parent consent form Unchanged 800 136 0 Other-Consents
Head Start core parent survey Unchanged 1600 528 0 Other-Survey
Head Start core program director survey New 60 30 0 Other-Survey
Head Start core teacher child report Unchanged 1600 272 0 Other-Child Report
Head Start core teacher survey New 240 120 0 Other-Survey
Head Start fall parent supplement survey Unchanged 800 64 0 Other-Survey
Head Start parent engagement interview consent form (Appendix J-5) New 120 20 0 Other-Consent
Head Start parent qualitative interview (Family Engagement) New 120 120 0 Other-Interview
Head Start spring parent supplement survey New 800 64 0 Other-Survey
Head Start staff (FSS) roster form New 20 3 0 Other-Roster Form
Head Start staff engagement interview consent form (Appendix J-7) New 60 10 0 Other-Consent
Head Start staff qualitative interview (FSS Engagement) New 60 60 0 Other-Interview
Letter for Center Director Unchanged 308 25 0 Instruction
Telephone script for on-site coordinators Unchanged 154 116 0 Other-Script
Telephone script for program directors Unchanged 154 154 0 Other-Script
Total burden requested under this ICR: 9056 3071 0  
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