Part C Form

IDEIA Part B and C Child Count

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0176 can be found here:

Documents and Forms

Document Name Document Type
Part C Form Form and Instruction
Part C IDEIA Tribal Count Data Requirements (Birth throu Part C Table.docx www.bie.edu/Programs/FACE/index.htm Form and Instruction

Information Collection (IC) Details

IC Title:	Part C Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	None	Part C IDEIA Tribal Count Data Requirements (Birth through 2 years)	Part C Table.docx	http://www.bie.edu/Programs/FACE/index.htm	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: 61	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	61	61
Annual IC Time Burden (Hours)	1,220	1,220
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.