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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
#1. PARENT INTERVIEW
Removed
0
0
0
Other-#1. PARENT INTERVIEW
#3. CHILD CARE PROVIDER INTERVIEW
Removed
0
0
0
Other-#3. CHILD CARE PROVIDER INTERVIEW
#4. HOME VISITOR INTERVIEW
Removed
0
0
0
Other-#4. HOME VISITOR INTERVIEW
#5. PRIMARY CAREGIVER/HOME VISITOR CHILD RATING
Removed
0
0
0
Other-#5. PRIMARY CAREGIVER/HOME VISITOR CHILD RATING
#6. FAMILY SERVICE TRACKING
Removed
0
0
0
Other-#6. FAMILY SERVICE TRACKING
#7. CHILD DIRECT ASSESSMENT
Removed
0
0
0
Other-#7. CHILD DIRECT ASSESSMENT
#8. PARENT-CHILD INTERACTION
Removed
0
0
0
Other-#8. PARENT-CHILD INTERACTION
2. PROGRAM DIRECTOR INTERVIEW
Removed
0
0
0
Other-#2. PROGRAM DIRECTOR INTERVIEW
Center director survey
New
247
82
0
Other-Survey
Child roster form (from EHS staff)
New
294
97
0
Other-Roster Form
Classroom/ home visitor sampling form (from EHS staff)
New
294
50
0
Other-Sampling Form
Parent Child Report
New
1155
289
0
Other-Parent Child Report
Parent consent form
New
1444
245
0
Other-Consent Form
Parent survey
New
1155
578
0
Other-Survey
Program director survey
New
70
35
0
Other-Survey
Staff Child Report
New
1373
343
0
Other-Staff Child Report
Other-Staff Child Report
Staff survey (Teacher survey and Home Visitor survey)
New
699
350
0
Other-Survey
Other-Survey
Total burden requested under this ICR:
6731
2069
0
To view an IC, click on IC Title