Household screener (SCREENER ONLY)

National Survey of Early Care and Education (NSECE): The Household, Provider, and Workforce Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0391 can be found here:

Documents and Forms

Document Name Document Type
15a_2019 NSECE Household Screener and Questionnaire.docx Other-Screener and Questionnaire
15b_2019 NSECE Household Screener and Questionnaire_Spanish.doc Household Screener and Questionnaire (SPANISH) IC Document

Information Collection (IC) Details

IC Title:	Household screener (SCREENER ONLY)	Agency IC Tracking Number:

Is this a Common Form? No		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
Other-Screener and Questionnaire			15a_2019 NSECE Household Screener and Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 61,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	61,500	61,500
Annual IC Time Burden (Hours)	6,150	6,150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Household Screener and Questionnaire (SPANISH)	15b_2019 NSECE Household Screener and Questionnaire_Spanish.doc	08/20/2018

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