Information Collection

Life Experience: Birth and Early Childhood

IC 253157 under ICR 202011-3206-008 · OMB 3206-0276.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0276 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
BEC-Consent.pdf	Other-Consent Form
BEC-Notes Template.pdf	Other-Notes Template
BEC-Conversation Guide.pdf	Other-Conversation Guide
BEC-ICR.pdf Information Collection Request	IC Document
BEC-Project Overview.pdf Project Overview	IC Document
BEC-Research Plan.pdf Research Plan	IC Document
BEC-Research Methods.pdf Research Methods	IC Document

IC Title:

Life Experience: Birth and Early Childhood

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Electronic Capability
Other-Consent Form	No	Paper Only
Other-Notes Template	No	Paper Only
Other-Conversation Guide	No	Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	1,286	1,286

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Information Collection Request		04/29/2022
Project Overview		04/29/2022
Research Plan		04/29/2022
Research Methods		04/29/2022

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

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