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  
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