PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Instrument 10: Parent–child interaction
New
498
85
0
Other-
Instrument 1: Classroom/ home visitor sampling form (from EHS staff)
Modified
204
35
0
Other-Sampling Form
Instrument 2: Child roster form (from EHS staff)
Modified
126
42
0
Other-Roster Form
Instrument 3: Parent consent form
Modified
1248
212
0
Other-Consent
Instrument 4: Parent survey
Modified
1042
552
0
Other-Survey
Instrument 5: Parent Child Report
Modified
1004
331
0
Other-Child Report
Instrument 6: Staff survey (Teacher survey and Home Visitor survey)
Modified
659
330
0
Other-Survey
Other-Survey
Instrument 7: Staff Child Report
Modified
1114
279
0
Other-Child Report
Other-Child Report
Instrument 8: Program director survey
Modified
60
30
0
Other-Survey
Instrument 9: Center director survey
Modified
147
74
0
Other-Survey
Total burden requested under this ICR:
6102
1970
0
To view an IC, click on IC Title
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