Information Collection

Teacher Home Visiter

IC 46361 under ICR 200612-0970-001 · OMB 0970-0318.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Head Start IMIL Stage 2 Telephone Interviews Teacher.doc	Other-Other
OMB-APB-Part 2-Teacher.doc	Other-Other
omb-APB-PART4-Teacher to WP.doc Report Summary Template for Classroom Teachers/Home Visitors	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Other			Head Start IMIL Stage 2 Telephone Interviews Teacher.doc		No	No	Paper Only
Other-Other			OMB-APB-Part 2-Teacher.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Report Summary Template for Classroom Teachers/Home Visitors	omb-APB-PART4-Teacher to WP.doc	02/26/2007

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