Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
(1) Classroom sampling form from Head Start staff Modified 120 20 0 Other-Sampling Form
(10) Head Start core center director survey - Spring 2017 New 120 50 0 Other-Survey
(16) Head Start child assessment for plus study (AI/AN FACES) Removed 0 0 0 Other-Assessment
(17) Head Start parent survey for plus study (AI/AN FACES) Removed 0 0 0 Other-Survey
(18) Head Start teacher child report for plus study (AI/AN FACES) Removed 0 0 0 Other-Report
(19) Head Start core parent survey for plus study (AI/AN FACES Spring 2016) Removed 0 0 0 Other-Survey
(2) Child roster form from Head Start staff (AI/AN FACES) Removed 0 0 0 Other-Roster Form
(20) Head Start core teacher survey for plus study (AI/AN FACES) Removed 0 0 0 Other-Survey
(21) Head Start program director core survey for plus study (AI/AN FACES) Removed 0 0 0 Other-Survey
(22) Head Start center director core survey for plus study (AI/AN FACES) Removed 0 0 0 Other-Survey
(23) Early care and education administrators survey for Plus study (Head Start Program Performance Standards) - Spring 2017 New 180 14 0 Other-Survey
(24) Early care and education providers survey for Plus study (5E-Early Ed) - Spring 2017 New 240 41 0 Other-Survey
(25) Telephone script for program directors - Spring 2017 Modified 154 154 0 Other-script
(26) Telephone script for on-site coordinators - Spring 2017 Modified 154 116 0 Other-script
(8) Head Start core teacher survey - Spring 2017 New 240 120 0 Other-Survey
(9) Head Start core program director survey - Spring 2017 New 60 30 0 Other-Survey
(K.1) Head Start parent consent form for Plus study (AI/AN FACES) Removed 0 0 0 Other-Consent
Child roster form from Head Start staff Removed 0 0 0 Other-Roster Form
Early care and education providers survey for Plus study (5E-Early Ed pilot) Removed 0 0 0 Other-Survey
Early care and education providers survey for Plus study (FPTRQ) Removed 0 0 0 Other-Survey
Head Start core center director survey Removed 0 0 0 Other-Survey
Head Start core child assessment Removed 0 0 0 Other-Child Assessment
Head Start core parent consent form Removed 0 0 0 Other-Consents
Head Start core parent survey Removed 0 0 0 Other-Survey
Head Start core program director survey Removed 0 0 0 Other-Survey
Head Start core teacher child report Removed 0 0 0 Other-Child Report
Head Start core teacher survey Removed 0 0 0 Other-Survey
Head Start fall parent supplement survey Removed 0 0 0 Other-Survey
Head Start parent engagement interview consent form (Appendix J-5) Removed 0 0 0 Other-Consent
Head Start parent qualitative interview (Family Engagement) Removed 0 0 0 Other-Interview
Head Start spring parent supplement survey Removed 0 0 0 Other-Survey
Head Start staff (FSS) roster form Removed 0 0 0 Other-Roster Form
Head Start staff engagement interview consent form (Appendix J-7) Removed 0 0 0 Other-Consent
Head Start staff qualitative interview (FSS Engagement) Removed 0 0 0 Other-Interview
Letter for Center Director - Spring 2017 Modified 308 25 0 Other-Letters
Total burden requested under this ICR: 1576 570 0  
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