Information Collection

Table 2 Report of Program Settings Where Early Intervention Services are Provided to Children with Disabilties and Their Families in accordance with Part C

IC 191420 under ICR 200911-1820-007 · OMB 1820-0557.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0557 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Table 2 Report of Program Settings Where Early Intervention Services are Provided to Children with Disabilties and Their Families in accordance with Part C	Form and Instruction
Table 2 RE5 (5 race/ethnicity reporting categories as us Att_1820-0557 (Pt C T2) form_RE5 (4).doc www.ideadata.org/PartCDTS.asp	Form and Instruction
Table 2 RE7 (for reporting race/ethnicity according to n Att_1820-0557 (Pt C T2) form_RE7.doc www.ideadata.org/PartCDTS.asp	Form and Instruction

Information Collection (IC) Details

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IC Title:

Table 2 Report of Program Settings Where Early Intervention Services are Provided to Children with Disabilties and Their Families in accordance with Part C

Agency IC Tracking Number:

4144

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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
Form and Instruction	N/A	Table 2 RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance)	Att_1820-0557 (Pt C T2) form_RE5 (4).doc	https://www.ideadata.org/PartCDTS.asp	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Table 2 RE7 (for reporting race/ethnicity according to new 2007 guidance)	Att_1820-0557 (Pt C T2) form_RE7.doc	https://www.ideadata.org/PartCDTS.asp	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	1,336	1,336
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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