Teacher Home Visiter

Evaluation of the Head Start Region III: "I am Moving, I am Learning" Program

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Teacher Home Visiter	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.