Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
(1) Classroom sampling form from Head Start staff Unchanged 132 22 0 Other-Sampling Form
(16) Head Start child assessment for plus study (AI/AN FACES) Unchanged 668 501 0 Other-Assessment
(17) Head Start parent survey for plus study (AI/AN FACES) Unchanged 273 137 0 Other-Survey
(18) Head Start teacher child report for plus study (AI/AN FACES) Unchanged 648 110 0 Other-Report
(19) Head Start core parent survey for plus study (AI/AN FACES Spring 2016) Unchanged 294 147 0 Other-Survey
(2) Child roster form from Head Start staff (AI/AN FACES) Unchanged 12 4 0 Other-Roster Form
(20) Head Start core teacher survey for plus study (AI/AN FACES) Unchanged 27 16 0 Other-Survey
(21) Head Start program director core survey for plus study (AI/AN FACES) Unchanged 7 2 0 Other-Survey
(22) Head Start center director core survey for plus study (AI/AN FACES) Unchanged 12 4 0 Other-Survey
(K.1) Head Start parent consent form for Plus study (AI/AN FACES) Unchanged 345 59 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 Modified 154 116 0 Other-script
Telephone script for program directors Modified 154 154 0 Other-script
Total burden requested under this ICR: 11314 4046 0  
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