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Federal forms, ICRs, and supporting documents

Information Collection

Parent Recruitment Study Materials--Main: Baseline & Follow-up 2 Replenishment

IC 257637 under ICR 202212-0910-013 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Attachment 3. Postcards ExPECTT 3_Baseline.docx Other-ENGLISH Postcards ExPECTT 3 Ba
Attachment 3. Postcards ExPECTT 3_Baseline.docx Other-ENGLISH Postcards ExPECTT 3 Ba
Attachment 3. Postcards ExPECTT 3_Baseline_rev_SPA_FINAL.docx Other-SPANISH Postcards ExPECTT 3 Ba
Attachment 3. Postcards ExPECTT 3_Baseline_rev_SPA_FINAL.docx Other-SPANISH Postcards ExPECTT 3 Ba
Attachment 11a. Initial Lead Letter ExPECTT_Baseline.docx Other-ENGLISH Initial Lead Letter Ex
Attachment 11a. Initial Lead Letter ExPECTT_Baseline.docx Other-ENGLISH Initial Lead Letter Ex
Attachment 11a. Initial Lead Letter ExPECTT_Baseline_rev_SPA_FINAL_rev.docx Other-SPANISH Initial Lead Letter Ex
Attachment 11a. Initial Lead Letter ExPECTT_Baseline_rev_SPA_FINAL_rev.docx Other-SPANISH Initial Lead Letter Ex
Attachment 11b. PAPI Lead Letter ExPECTT_Baseline.docx Other-ENGLISH PAPI Lead Letter ExPEC
Attachment 11b. PAPI Lead Letter ExPECTT_Baseline.docx Other-ENGLISH PAPI Lead Letter ExPEC
Attachment 11b. PAPI Lead Letter ExPECTT_Baseline_rev_SPA_FINAL.docx Other-SPANISH PAPI Lead Letter ExPEC
Attachment 11b. PAPI Lead Letter ExPECTT_Baseline_rev_SPA_FINAL.docx Other-SPANISH PAPI Lead Letter ExPEC
Attachment 14. Incentive Thank You Letter ExPECTT 3_Baseline.docx Other-ENGLISH Incentive Thank You Le
Attachment 14. Incentive Thank You Letter ExPECTT 3_Baseline.docx Other-ENGLISH Incentive Thank You Le
Attachment 14a. Incentive Thank You Letter ExPECTT 3_Baseline_SPA_FINAL.docx Other-SPANISH Incentive Thank You Le
Attachment 14a. Incentive Thank You Letter ExPECTT 3_Baseline_SPA_FINAL.docx Other-SPANISH Incentive Thank You Le
Attachment 15. Email_reminders_ExPECTT3_Baseline.docx Other-ENGLISH Email Reminders ExPECT
Attachment 15. Email_reminders_ExPECTT3_Baseline.docx Other-ENGLISH Email Reminders ExPECT
Attachment 15. Email_reminders_ExPECTT3_Baseline_SPA_FINAL.docx Other-SPANISH Email Reminders ExPECT
Attachment 15. Email_reminders_ExPECTT3_Baseline_SPA_FINAL.docx Other-SPANISH Email Reminders ExPECT
Attachment 18. Recruitment_Ads ExPECTT 3_Baseline.docx Other-Recruitment Ads ExPECTT 3 Base
Attachment 18. Recruitment_Ads ExPECTT 3_Baseline.docx Other-Recruitment Ads ExPECTT 3 Base
Attachment 19. Eligibility Email ExPECTT 3_Baseline.docx Other-ENGLISH Eligibility Email ExPE
Attachment 19. Eligibility Email ExPECTT 3_Baseline.docx Other-ENGLISH Eligibility Email ExPE
Attachment 19. Eligibility Email ExPECTT 3_Baseline_SPA_FINAL.docx Other-SPANISH Eligibility Email ExPE
Attachment 19. Eligibility Email ExPECTT 3_Baseline_SPA_FINAL.docx Other-SPANISH Eligibility Email ExPE
Attachment 20. Eligibility Letter ExPECTT 3_Baseline.docx Other-ENGLISH Eligibility Letter ExP
Attachment 20. Eligibility Letter ExPECTT 3_Baseline.docx Other-ENGLISH Eligibility Letter ExP
Attachment 20. Eligibility Letter ExPECTT 3_Baseline_SPA_FINAL.docx Other-SPANISH Eligibility Letter ExP
Attachment 20. Eligibility Letter ExPECTT 3_Baseline_SPA_FINAL.docx Other-SPANISH Eligibility Letter ExP
Attachment 21. Questions and Answers about the Health and Media Study.docx Other-ENGLISH Questions and Answers
Attachment 21. Questions and Answers about the Health and Media Study.docx Other-ENGLISH Questions and Answers
Attachment 21. Questions and Answers about the Health and Media Study_FinalDraft_SPA_FINAL.docx Other-SPANISH Questions and Answers
Attachment 21. Questions and Answers about the Health and Media Study_FinalDraft_SPA_FINAL.docx Other-SPANISH Questions and Answers

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-ENGLISH Postcards ExPECTT 3 Baseline Attachment 3. Postcards ExPECTT 3_Baseline.docx No   Paper Only
Other-SPANISH Postcards ExPECTT 3 Baseline Attachment 3. Postcards ExPECTT 3_Baseline_rev_SPA_FINAL.docx No   Paper Only
Other-ENGLISH Initial Lead Letter ExPECTT Baseline Attachment 11a. Initial Lead Letter ExPECTT_Baseline.docx No   Paper Only
Other-SPANISH Initial Lead Letter ExPECTT Baseline Attachment 11a. Initial Lead Letter ExPECTT_Baseline_rev_SPA_FINAL_rev.docx No   Paper Only
Other-ENGLISH PAPI Lead Letter ExPECTT Baseline Attachment 11b. PAPI Lead Letter ExPECTT_Baseline.docx No   Paper Only
Other-SPANISH PAPI Lead Letter ExPECTT Baseline Attachment 11b. PAPI Lead Letter ExPECTT_Baseline_rev_SPA_FINAL.docx No   Paper Only
Other-ENGLISH Incentive Thank You Letter ExPECTT 3 Baseline Attachment 14. Incentive Thank You Letter ExPECTT 3_Baseline.docx No   Paper Only
Other-SPANISH Incentive Thank You Letter ExPECTT 3 Baseline Attachment 14a. Incentive Thank You Letter ExPECTT 3_Baseline_SPA_FINAL.docx No   Paper Only
Other-ENGLISH Email Reminders ExPECTT3 Baseline Attachment 15. Email_reminders_ExPECTT3_Baseline.docx Yes Yes Fillable Printable
Other-SPANISH Email Reminders ExPECTT3 Baseline Attachment 15. Email_reminders_ExPECTT3_Baseline_SPA_FINAL.docx Yes Yes Fillable Printable
Other-Recruitment Ads ExPECTT 3 Baseline Attachment 18. Recruitment_Ads ExPECTT 3_Baseline.docx Yes No Printable Only
Other-ENGLISH Eligibility Email ExPECTT 3 Baseline Attachment 19. Eligibility Email ExPECTT 3_Baseline.docx Yes Yes Fillable Printable
Other-SPANISH Eligibility Email ExPECTT 3 Baseline Attachment 19. Eligibility Email ExPECTT 3_Baseline_SPA_FINAL.docx Yes Yes Fillable Printable
Other-ENGLISH Eligibility Letter ExPECTT 3 Baseline Attachment 20. Eligibility Letter ExPECTT 3_Baseline.docx No   Paper Only
Other-SPANISH Eligibility Letter ExPECTT 3 Baseline Attachment 20. Eligibility Letter ExPECTT 3_Baseline_SPA_FINAL.docx No   Paper Only
Other-ENGLISH Questions and Answers about the Health and Media Study Attachment 21. Questions and Answers about the Health and Media Study.docx No   Paper Only
Other-SPANISH Questions and Answers about the Health and Media Study Attachment 21. Questions and Answers about the Health and Media Study_FinalDraft_SPA_FINAL.docx No   Paper Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 545,000 0 0 545,000 0 0
Annual IC Time Burden (Hours) 92,650 0 0 92,650 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.