Report of Infants and Toddlers Receiving Early Intervention Services and of Program Settings Where Services are Provided in Accordance with Part C, and Report on Infants and Toddlers...

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Table 3 RE5 (5 race/ethnicity reproting categories as used prior to 2007 guidance)	Form and Instruction	Modified	Available
Table 3 RE7 (for reporting race/ethnicity according to new 2007 guidance	Form and Instruction	Modified	Available
Table 2 RE7 (for reporting race/ethnicity according to new 2007 guidance)	Form and Instruction	Modified	Available
Table 2 RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance)	Form and Instruction	Modified	Available
Table 1 RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance)	Form and Instruction	Modified	Available
Table 1-RE7 (for reporting race/ethnicity according to new 2007 guidance)	Form and Instruction	Modified	Available
83-C Change Worksheet 1820-0557.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2010-05-26	Available
Supporting Statement-1820-0557.doc	Supporting Statement A	Uploaded 2010-01-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191421	Table 3 RE5 Report on Infants and Toddlers Exiting Part C	Form and Instruction	Modified	Table 3 RE5 (5 race/ethnicity reproting categories as used prior to 2007 guidance)
191421	Table 3 RE5 Report on Infants and Toddlers Exiting Part C	Form and Instruction	Modified	Table 3 RE7 (for reporting race/ethnicity according to new 2007 guidance
191420	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	Modified	Table 2 RE7 (for reporting race/ethnicity according to new 2007 guidance)
191420	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	Modified	Table 2 RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance)
191419	Table 1 RE5 Report of Children Receiving Early Intervention Services in Accordance with Part C	Form and Instruction	Modified	Table 1 RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance)
191419	Table 1 RE5 Report of Children Receiving Early Intervention Services in Accordance with Part C	Form and Instruction	Modified	Table 1-RE7 (for reporting race/ethnicity according to new 2007 guidance)

ICR Details

OMB Control No: 1820-0557	ICR Reference No: 201005-1820-002
Status: Historical Active	Previous ICR Reference No: 200911-1820-007
Agency/Subagency: ED/OSERS	Agency Tracking No: 4144
Title: Report of Infants and Toddlers Receiving Early Intervention Services and of Program Settings Where Services are Provided in Accordance with Part C, and Report on Infants and Toddlers...
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/02/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/28/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2013	01/31/2013	01/31/2013
Responses	168	0	168
Time Burden (Hours)	5,987	0	5,987
Cost Burden (Dollars)	0	0	0

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Abstract: This package provides instructions and forms necessary for States to report, by race and ethnicity, the number of infants and toddlers with disabilities who: a) are served under IDEA, Part C; b) are served in different program settings; and c) exit Part C because of program completion and for other reasons. Data are obtained from state and local service agencies and are used to assess and monitor the implementation of IDEA and for Congressional reporting.

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Authorizing Statute(s): PL: Pub.L. 108 - 446 618(a)(1)(B) (1)(c),(a2)(a3) Name of Law: IDEA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 48939	09/25/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 61667	11/25/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Table 1 RE5 Report of Children Receiving Early Intervention Services in Accordance with Part C	N/A, N/A	Table 1 RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance) ,   Table 1-RE7 (for reporting race/ethnicity according to new 2007 guidance)
Table 2 Report of Program Settings Where Early Intervention Services are Provided to Children with Disabilties and Their Families in accordance with Part C	N/A, N/A	Table 2 RE5 (5 race/ethnicity reporting categories as used prior to 2007 guidance) ,   Table 2 RE7 (for reporting race/ethnicity according to new 2007 guidance)
Table 3 RE5 Report on Infants and Toddlers Exiting Part C	N/A, N/A	Table 3 RE5 (5 race/ethnicity reproting categories as used prior to 2007 guidance) ,   Table 3 RE7 (for reporting race/ethnicity according to new 2007 guidance

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ICR Summary of Burden

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	168	168	0	0	0	0
Annual Time Burden (Hours)	5,987	5,987	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a 582 hour decrease to the annual reporting and record keeping burden from the currently approved 1820-0557 form. This decrease is due to a projected increase in the number of States that are now using individual level student record keeping data systems.

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Annual Cost to Federal Government: $22,310

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/28/2010

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