Information Collection

Annual Report of Children in State Agency and Locally Operated Institutions for Neglected and Delinquent Children

IC 21233 under ICR 201109-1810-001 · OMB 1810-0060.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1810-0060 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ED-Form 4376 Annual Report of Children in State Agency and Locally Operated Institutions for Neglected and Delinquent Children	Form and Instruction
ED-Form 4376 Annual Report of Children in Institutions for Neglected 1810-0060 ND report form 2012-13.doc	Form and Instruction

IC Title:

Annual Report of Children in State Agency and Locally Operated Institutions for Neglected and Delinquent Children

Agency IC Tracking Number:

04662

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	ED-Form 4376	Annual Report of Children in Institutions for Neglected or Delinquent Children, Adult Correctional Institutions, and Community Day Programs for Neglected of Delinquent Children	1810-0060 ND report form 2012-13.doc		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: 3,552

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,552	500	3,052
Annual IC Time Burden (Hours)	4,564	340	4,224
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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