Information Collection

Individuals with Disabilities Education Act (IDEA) State and Local Implementation Study 2019

IC 235637 under ICR 201904-1850-004 · OMB 1850-0949.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Individuals with Disabilities Education Act (IDEA) State and Local Implementation Study 2019	Form and Instruction
State Part C Survey State Part C 8 21 2019.docx	Form and Instruction
State Part B 611 Survey State Part B 611 8 21 2019.docx	Form and Instruction
District Part B 611 Survey District Part B 611 8 21 2019.docx	Form and Instruction
School Part B Survey School Part B 611 and 619 8 21 2019.docx	Form and Instruction
State Part B 619 Survey State Part B 619 8 21 2019.docx	Form and Instruction
IDEA District Part B 619 Survey District Part B 619 8 21 2016.docx	Form and Instruction
Appendix B1 8 21 2019.docx State Recruitment Letter	IC Document
Appendix B2 8 21 2019.docx State Advance Letter	IC Document
Appendix B3 8 21 2019.docx District Recruitment Letter	IC Document
Appendix B4 8 21 2019.docx Study Brochure	IC Document
Appendix B5 8 21 2019.docx District Participation Letter	IC Document
Appendix B6 8 21 2019.docx CEC Letter of Endorsement	IC Document
Appendix B7 8 21 2019.docx District Advance Letter	IC Document
Appendix B8 8 21 2019.docx School Advance Letter	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	N/A	State Part C Survey	State Part C 8 21 2019.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	State Part B 611 Survey	State Part B 611 8 21 2019.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	District Part B 611 Survey	District Part B 611 8 21 2019.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	School Part B Survey	School Part B 611 and 619 8 21 2019.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	State Part B 619 Survey	State Part B 619 8 21 2019.docx	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	IDEA District Part B 619 Survey	District Part B 619 8 21 2016.docx	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: 1,153

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,153	1,153
Annual IC Time Burden (Hours)	970	970
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
State Recruitment Letter	Appendix B1 8 21 2019.docx	08/21/2019
State Advance Letter	Appendix B2 8 21 2019.docx	08/21/2019
District Recruitment Letter	Appendix B3 8 21 2019.docx	08/21/2019
Study Brochure	Appendix B4 8 21 2019.docx	08/21/2019
District Participation Letter	Appendix B5 8 21 2019.docx	08/21/2019
CEC Letter of Endorsement	Appendix B6 8 21 2019.docx	08/21/2019
District Advance Letter	Appendix B7 8 21 2019.docx	08/21/2019
School Advance Letter	Appendix B8 8 21 2019.docx	08/21/2019

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