Information Collection

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

IC 198046 under ICR 201407-1820-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form Part C TI-3 Report of Children Receiving Early Intervention Services in Accordance with Part C	Form and Instruction
Part C TI-3 Child Count 1820-0557 ChildCountPtC-2014.doc emaps.ed.gov/suite/apps	Form and Instruction
2 Part C Existing 1820-0557 ExitingPtC-2014.doc emaps.ed.gov/suite/apps	Form and Instruction
3 Part C Settings 1820-0557 SettingsPtC-2014.doc emaps.ed.gov/suite/apps	Form and Instruction

IC Title:

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

Agency IC Tracking Number:

1138.24

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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

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	Part C TI-3	Child Count	1820-0557 ChildCountPtC-2014.doc	emaps.ed.gov/suite/apps	Yes	Yes	Fillable Fileable
Form and Instruction	2	Part C Existing	1820-0557 ExitingPtC-2014.doc	emaps.ed.gov/suite/apps	Yes	Yes	Fillable Fileable
Form and Instruction	3	Part C Settings	1820-0557 SettingsPtC-2014.doc	emaps.ed.gov/suite/apps	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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	56	0	56
Annual IC Time Burden (Hours)	6,697	710	5,987
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.