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
Other-SUMMER Questionnaire & Screener
Center-based provider screener (SCREENER ONLY) Modified 7640 764 0 Other-Screener and Questionnaire
Other-SUMMER Screener & Questionnaire
Classroom staff (workforce) questionnaire Unchanged 6100 2013 0 Other-Questionnaire
Home-based provider QUESTIONNAIRE WITH SCREENER (listed home-based providers) Modified 4000 2680 0 Other-Screener and Quesionnaire
Other-SUMMER Screener & Questionnaire
Home-based provider QUESTIONNAIRE WITH SCREENER (unlisted home-based providers) Modified 2100 693 0 Other-Questionnaire and Screener
Other-SUMMER Screener & Questionnaire
Home-based provider screener ([SCREENER ONLY] listed home-based providers) Modified 2015 60 0 Other-Screener and Questionnaire
Other-SUMMER Screener & Questionnaire
Household questionnaire (NO SCREENER) - During School Year Modified 8000 8000 0 Other-Screener and Questionnaire
Household questionnaire (NO SCREENER) - During Summer New 2600 1950 0 Other-Screener and Questionnaire
Household screener (SCREENER ONLY) Unchanged 61500 6150 0 Other-Screener and Questionnaire
Total burden requested under this ICR: 101755 28160 0  
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