Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Report of Children Receiving Early Intervention Services in Accordance with Part C	Modified	56	5311	0	Form and Instruction	Table 2	Report of Proram Settings where Early Intervention Services are Provided to Children with Disabilites and their Families with Part C
					Form and Instruction	Table 3	Report on Infants and Toddlers Exiting Part C
					Form and Instruction	Table 1	Report of Children Receiving Early Intervention Services in Accordance with Part C
Total burden requested under this ICR:		56	5311	0
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