Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
#1. Household Screener Removed 0 0 0 Other-#1. Household Screener
#2. Household Interview Removed 0 0 0 Other-#2. Household Interview
#3. Home-Based Provider Interview Removed 0 0 0 Other-#3. Home-Based Provider Interview
#4. Center-Based Provider Screener Removed 0 0 0 Other-#4. Center-Based Provider Screener
#5. Center-Based Provider Interview Removed 0 0 0 Other-#5. Center-Based Provider Interview
#6. Classroom/Group Staff Interview Removed 0 0 0 Other-#6. Classroom/Group Staff Interview
Center-based provider QUESTIONNAIRE AND SCREENER New 7800 5850 0 Other-Questionnaire and Screener
Center-based provider screener (SCREENER ONLY) New 7640 764 0 Other-Screener and Questionnaire
Classroom staff (workforce) questionnaire New 6100 2013 0 Other-Questionnaire
Home-based provider QUESTIONNAIRE WITH SCREENER (listed home-based providers) New 4000 2680 0 Other-Screener and Quesionnaire
Home-based provider QUESTIONNAIRE WITH SCREENER (unlisted home-based providers) New 2100 693 0 Other-Questionnaire and Screener
Home-based provider screener ([SCREENER ONLY] listed home-based providers) New 2015 60 0 Other-Screener and Questionnaire
Household questionnaire (NO SCREENER) New 10600 10600 0 Other-Screener and Questionnaire
Household screener (SCREENER ONLY) New 61500 6150 0 Other-Screener and Questionnaire
Total burden requested under this ICR: 101755 28810 0  
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