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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 201105-1820-005 · OMB 1820-0557.

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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: Removed

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

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 %

	Program Change Due to Agency Discretion	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

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