Information Collection

Parent Survey Eligibility Confirmation (Section AE)

IC 264323 under ICR 202404-0970-006 · OMB 0970-0627.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CEPC English Parent Questionnaire_toOPRE_030524_CLEAN.docx	Other-Survey - English
CEPC English Parent Questionnaire_toOPRE_030524_CLEAN.docx	Other-Survey - English
Spanish Parent Questionnaire_toOPRE_030824_CLEAN.docx	Other-Survey - Spanish
Spanish Parent Questionnaire_toOPRE_030824_CLEAN.docx	Other-Survey - Spanish

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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-Survey - English			CEPC English Parent Questionnaire_toOPRE_030524_CLEAN.docx		Yes	Yes	Fillable Fileable
Other-Survey - Spanish			Spanish Parent Questionnaire_toOPRE_030824_CLEAN.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: 7,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,000	4,900	2,100
Annual IC Time Burden (Hours)	560	392	168
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.