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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.