Information Collection

Early Head Start Research and Evaluation Project: 5th Grade Follow-Up

IC 9884 under ICR 200610-0970-003 · OMB 0970-0143.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0 Early Head Start Research and Evaluation Project: 5th Grade Follow-Up	Form and Instruction
Appendix F2 - Advance Letter.pdf	Other-Other
0 mother-child Appendix B - mother-child interaction_NEW.pdf	Form and Instruction
0 Permission to Contact Teacher Appendix F5 - Permission to Contact Teacher.pdf	Form and Instruction
0 Appendix A Appendix A - Child Interview-8-24-2006.pdf	Form and Instruction
0 Appendix C Appendix C - maternal interview-8-31-2006.pdf	Form and Instruction
0 Appendix F1 Appendix F1 - Parent Consent Form.pdf	Form and Instruction
0 Appendix F3 Appendix F3 - Permission to Videotape.pdf	Form and Instruction
0 Appendix G Appendix G - Confidentiality Pledge.pdf	Form and Instruction
0 Appendix B2 Appendix B2 - home observation_8-17-2006.pdf	Form and Instruction
0 Appendix D Appendix D - teacher quest-8-24-2006.pdf	Form and Instruction
0 Appendix F1a Appendix F1a - Advance Locating letter to parent.pdf	Form and Instruction
0 Appendix F4 Appendix F4 - Child Assent.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0	Appendix D	Appendix D - teacher quest-8-24-2006.pdf	No	No	Fillable Fileable
Form and Instruction	0	Appendix F1a	Appendix F1a - Advance Locating letter to parent.pdf	No	No	Fillable Printable
Other-Other			Appendix F2 - Advance Letter.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix F4	Appendix F4 - Child Assent.pdf	No	No	Fillable Printable
Form and Instruction	0	mother-child	Appendix B - mother-child interaction_NEW.pdf	No	No	Printable Only
Form and Instruction	0	Permission to Contact Teacher	Appendix F5 - Permission to Contact Teacher.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix A	Appendix A - Child Interview-8-24-2006.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix C	Appendix C - maternal interview-8-31-2006.pdf	No	No	Fillable Fileable
Form and Instruction	0	Appendix F1	Appendix F1 - Parent Consent Form.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix F3	Appendix F3 - Permission to Videotape.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix G	Appendix G - Confidentiality Pledge.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix B2	Appendix B2 - home observation_8-17-2006.pdf	No	No	Fillable Printable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 12 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,800	-5,785	9,585
Annual IC Time Burden (Hours)	2,153	-10,208	12,361
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.