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

Report of Infants and Toddlers Receiving Early Intervention Services and of Program Settings Where Services are Provided in Accordance with Part C, and Report on Infants and Toddlers...

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0557 can be found here:

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.