Early Care and Education (ECE) State Indicator Assessment

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Early Care and Education (ECE) State Indicator Assessment Form and Instruction
ECE State Indicator Report Att F Instrument Screen Shots _REVISED.docx Form and Instruction
Att. E Word vers of Instrument Template.docx Instrument Questionnaire - WORD IC Document
Att. A List of State Health Dept by State.docx List of Health Dept. by State IC Document
Att. B map of CACFP agency by state.ppt Map of CACFP by State IC Document
Att. D Figure of CDC spectrum of opportunities.pptx CDC Spectrum of Opportunity IC Document
Att. G notification email for 1305 ECE coordinator.docx Notification email for 1305 ECE Coordinator IC Document
Att. H notification email for CACFP director.docx Notification email for CACFP Director IC Document
Att. I first reminder email for 1305 ECE coordinator.docx First Reminder email for 1305 ECE Coordinator IC Document
Att. J first reminder to CACFP director.docx First Reminder email for CACFP Director IC Document
Att. K final reminder email for 1305 ECE coordinator.docx Final Reminder email for 1305 ECE Coordinator IC Document
Att. L final reminder email for CACFP director.docx Final Reminder email for CACFP Director IC Document
DNPAO-SIR-SSB.docx Supporting Statement B IC Document
DNPAO-SIR-SSA_REVISED.docx Supporting Statement A IC Document

Information Collection (IC) Details

IC Title:	Early Care and Education (ECE) State Indicator Assessment	Agency IC Tracking Number:	15BGR

IC Status: New

Obligation to Respond: Voluntary

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	NA	ECE State Indicator Report	Att F Instrument Screen Shots _REVISED.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 102	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
Annual Number of Responses for this IC	102	102
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Instrument Questionnaire - WORD	Att. E Word vers of Instrument Template.docx	09/25/2015
List of Health Dept. by State	Att. A List of State Health Dept by State.docx	09/25/2015
Map of CACFP by State	Att. B map of CACFP agency by state.ppt	09/25/2015
CDC Spectrum of Opportunity	Att. D Figure of CDC spectrum of opportunities.pptx	09/25/2015
Notification email for 1305 ECE Coordinator	Att. G notification email for 1305 ECE coordinator.docx	09/25/2015
Notification email for CACFP Director	Att. H notification email for CACFP director.docx	09/25/2015
First Reminder email for 1305 ECE Coordinator	Att. I first reminder email for 1305 ECE coordinator.docx	09/25/2015
First Reminder email for CACFP Director	Att. J first reminder to CACFP director.docx	09/25/2015
Final Reminder email for 1305 ECE Coordinator	Att. K final reminder email for 1305 ECE coordinator.docx	09/25/2015
Final Reminder email for CACFP Director	Att. L final reminder email for CACFP director.docx	09/25/2015
Supporting Statement B	DNPAO-SIR-SSB.docx	09/25/2015
Supporting Statement A	DNPAO-SIR-SSA_REVISED.docx	09/28/2015

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