Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Behavioral Note (Form A-9E) New 27000 13500 0 Form and Instruction A-9E Behavioral Note
Child-Level Event (Form A-9A) New 78600 13362 0 Form and Instruction A-9A Child-Level Event
Emergency Significant Incident Report (Form A-9B) New 3000 4500 0 Form and Instruction A-9B Emergency Significant Incident Report
Historical Disclosure (Form A-9D) New 41700 62550 0 Form and Instruction A-9D Historical Disclosure
Non-Emergency Significant Incident Report (Form A-9C) New 18600 27900 0 Form and Instruction A-9C Non-Emergency Significant Incident Report
Program-Level Event Report (Form A-10) New 1800 1800 0 Form and Instruction A-10 Program-Level Event Report
Total burden requested under this ICR: 170700 123612 0  
To view an IC, click on IC Title