Information Collection

Special Education/Early Intervention Summary: Family Members

IC 242177 under ICR 202005-0704-002 · OMB 0704-0411.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0411 can be found here:

Documents and Forms

Document Name Document Type
Form DD 2792-1 Special Education/Early Intervention Summary: Family Members Form and Instruction
DD 2792-1 Special Education / Early Intervention Summary 0704-0411_DD2792-1 20200504 DRAFT.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Special Education/Early Intervention Summary: Family Members	Agency IC Tracking Number:

Is this a Common Form? Yes		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	DD 2792-1	Special Education / Early Intervention Summary	0704-0411_DD2792-1 20200504 DRAFT.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 16,906	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16,906	16,906
Annual IC Time Burden (Hours)	1,409	1,409
Annual IC Cost Burden (Dollars)	36,855	36,855

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.