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 201005-1820-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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 5 17 10 (2) (2).doc www.ideadata.org/PartCDTS.asp Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection 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 5 17 10 (2) (2).doc	https://www.ideadata.org/PartCDTS.asp	Yes	Yes	Fillable Fileable

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 %

	Approved	Previously Approved
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

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