Information Collection

Report of Children Receiving Early Intervention Services in Accordance with Part C

IC 198046 under ICR 201105-1820-005 · OMB 1820-0557.

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Information Collection (IC) Details

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IC Title:	Report of Children Receiving Early Intervention Services in Accordance with Part C	Agency IC Tracking Number:	4571

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 34 CFR 300.640,303.124, 303.720 - 724

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 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	5,987	5,987
Annual IC Cost Burden (Dollars)	0	0

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