Information Collection Request

Study of the Program for Infant Toddler Care (PITC)

ICR 200703-1850-005 · OMB 1850-0833 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
REL West Response to OMB PITC Study E 7.13.07.doc Supplementary Document Uploaded 2007-07-18 Available
REL West Study E PITC OMB Support Stmt B_7.17.07.doc Supporting Statement B Uploaded 2007-07-18 Available
REL West Study E PITC OMB Support Stmt A_7.17.07.doc Supporting Statement A Uploaded 2007-07-18 Available
OMB copyright document placeholder.doc Supplementary Document Uploaded 2007-03-29 Available
OMB copyright document placeholder.doc Supplementary Document Uploaded 2007-03-29 Available
Program Recruitment Flyer_7.17.07.doc Supplementary Document Uploaded 2007-07-18 Available
REL PITC Parent Recruitment form 3-19-07.doc Supplementary Document Uploaded 2007-03-29 Available
REL PITC Caregiver Recruitment flyer_3.19.07_KH.doc Supplementary Document Uploaded 2007-03-29 Available
Consent Forms_7.17.07.doc Supplementary Document Uploaded 2007-07-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
179806 Recruitment Meetings Other-OMB placeholder - Recruitment Meetings New
179312 In Person Child Measures 2nd follow-up (Parent with child) Other-In person child measures 2nd follow-up (parent with child) New
179311 In- Person Child Measures 2nd Follow-up (with child) Other-In person child measures 2nd follow-up (with child) New
179310 In- Person Child Measures 1st Follow-up (with child) Other-In -Person child measures 1st follow-up (with child) New
179309 In Person Child Measures 1st follow-up (Parent with child) Other-In-person child measures 1st follow-up (parent with child) New
179308 Parent Follow-up Questionnaire Other-questionnaire New
179307 PITC Training Evaluation Other-training evaluation New
179306 Family Child Care Observation Instrument Other-Interview with observation New
179304 Center Interview with Observation Other-interview with observation New
179303 Individual Childcare Form for Caregiver Other-Individual Child Form New
179302 Family Caregiver Questionnaire Other-questionnaire New
179300 Center Caregiver /Teacher Questionnaire Other-questionnaire New
179190 Center Director Questionnaire Other-questionnaire New
179189 Parents Baseline Questionnaire Other-baseline questionnaire New
179188 Child Care Provider Screening Interview - Family Child Care Programs Other-screening interview New
179187 Child-Care Provider Screening Interview- Centers Other-screening interview New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2010 36 Months From Approved
3,722 0 0
2,298 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,722 0 0 3,722 0 0
Annual Time Burden (Hours) 2,298 0 0 2,298 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No