Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Center-based provider QUESTIONNAIRE AND SCREENER Modified 7800 5850 0 Other-Questionnaire and Screener
Center-based provider screener (SCREENER ONLY) Modified 7640 764 0 Other-Screener and Questionnaire
Classroom staff (workforce) questionnaire Modified 6100 2013 0 Other-Questionnaire
Home-based provider QUESTIONNAIRE WITH SCREENER (listed home-based providers) Modified 4000 2680 0 Other-Screener and Quesionnaire
Home-based provider QUESTIONNAIRE WITH SCREENER (unlisted home-based providers) Modified 2100 693 0 Other-Questionnaire and Screener
Home-based provider screener ([SCREENER ONLY] listed home-based providers) Modified 2015 60 0 Other-Screener and Questionnaire
Household questionnaire (NO SCREENER) Modified 10600 10600 0 Other-Screener and Questionnaire
Household screener (SCREENER ONLY) Modified 61500 6150 0 Other-Screener and Questionnaire
Total burden requested under this ICR: 101755 28810 0  
To view an IC, click on IC Title