Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
(1) Classroom sampling form from Head Start staff Modified 52 9 0 Other-Sampling Form
(16) Head Start child assessment for plus study (AI/AN FACES) New 534 401 0 Other-Assessment
(17) Head Start parent survey for plus study (AI/AN FACES) New 267 134 0 Other-Survey
(18) Head Start teacher child report for plus study (AI/AN FACES) New 540 92 0 Other-Report
(2) Child roster form from Head Start staff (AI/AN FACES) New 12 4 0 Other-Roster Form
(K.1) Head Start parent consent form for Plus study (AI/AN FACES) New 267 46 0 Other-Consent
Child roster form from Head Start staff Unchanged 40 13 0 Other-Roster Form
Early care and education providers survey for Plus study (5E-Early Ed pilot) Unchanged 160 53 0 Other-Survey
Early care and education providers survey for Plus study (FPTRQ) Unchanged 80 6 0 Other-Survey
Head Start core center director survey Unchanged 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 Unchanged 60 30 0 Other-Survey
Head Start core teacher child report Unchanged 1600 272 0 Other-Child Report
Head Start core teacher survey Unchanged 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) Unchanged 120 20 0 Other-Consent
Head Start parent qualitative interview (Family Engagement) Unchanged 120 120 0 Other-Interview
Head Start spring parent supplement survey Unchanged 800 64 0 Other-Survey
Head Start staff (FSS) roster form Unchanged 20 3 0 Other-Roster Form
Head Start staff engagement interview consent form (Appendix J-7) Unchanged 60 10 0 Other-Consent
Head Start staff qualitative interview (FSS Engagement) Unchanged 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: 10568 3730 0  
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