Information Collection

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

IC 198046 under ICR 201706-1820-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form Table 2 Report of Children Receiving Early Intervention Services in Accordance with Part C Form and Instruction
Table 2 Report of Proram Settings where Early Intervention Servi 1820-0557 SettingsPtC-2017.doc Form and Instruction
Table 3 Report on Infants and Toddlers Exiting Part C 1820-0557 ExitingPtC-2017.doc Form and Instruction
Table 1 Report of Children Receiving Early Intervention Services 1820-0557 2017-18-child-count.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Report of Children Receiving Early Intervention Services in Accordance with Part C	Agency IC Tracking Number:	ED-2017-ICCD-0088

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Table 2	Report of Proram Settings where Early Intervention Services are Provided to Children with Disabilites and their Families with Part C	1820-0557 SettingsPtC-2017.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Table 3	Report on Infants and Toddlers Exiting Part C	1820-0557 ExitingPtC-2017.doc	Yes	Yes	Fillable Fileable
Form and Instruction	Table 1	Report of Children Receiving Early Intervention Services in Accordance with Part C	1820-0557 2017-18-child-count.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: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	56	0	56
Annual IC Time Burden (Hours)	5,311	-1,386	6,697
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.