Early Head Start Research and Evaluation Project: 5th Grade Follow-Up

Early Head StartEvalauation Data Collection Instruments - III

Documents and Forms

Document Name Document Type
Form 0 Early Head Start Research and Evaluation Project: 5th Grade Follow-Up Form and Instruction
Appendix F2 - Advance Letter.pdf Other-Other
0 mother-child Appendix B - mother-child interaction_NEW.pdf Form and Instruction
0 Permission to Contact Teacher Appendix F5 - Permission to Contact Teacher.pdf Form and Instruction
0 Appendix A Appendix A - Child Interview-8-24-2006.pdf Form and Instruction
0 Appendix C Appendix C - maternal interview-8-31-2006.pdf Form and Instruction
0 Appendix F1 Appendix F1 - Parent Consent Form.pdf Form and Instruction
0 Appendix F3 Appendix F3 - Permission to Videotape.pdf Form and Instruction
0 Appendix G Appendix G - Confidentiality Pledge.pdf Form and Instruction
0 Appendix B2 Appendix B2 - home observation_8-17-2006.pdf Form and Instruction
0 Appendix D Appendix D - teacher quest-8-24-2006.pdf Form and Instruction
0 Appendix F1a Appendix F1a - Advance Locating letter to parent.pdf Form and Instruction
0 Appendix F4 Appendix F4 - Child Assent.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Early Head Start Research and Evaluation Project: 5th Grade Follow-Up	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0	Appendix D	Appendix D - teacher quest-8-24-2006.pdf	No	No	Fillable Fileable
Form and Instruction	0	Appendix F1a	Appendix F1a - Advance Locating letter to parent.pdf	No	No	Fillable Printable
Other-Other			Appendix F2 - Advance Letter.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix F4	Appendix F4 - Child Assent.pdf	No	No	Fillable Printable
Form and Instruction	0	mother-child	Appendix B - mother-child interaction_NEW.pdf	No	No	Printable Only
Form and Instruction	0	Permission to Contact Teacher	Appendix F5 - Permission to Contact Teacher.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix A	Appendix A - Child Interview-8-24-2006.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix C	Appendix C - maternal interview-8-31-2006.pdf	No	No	Fillable Fileable
Form and Instruction	0	Appendix F1	Appendix F1 - Parent Consent Form.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix F3	Appendix F3 - Permission to Videotape.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix G	Appendix G - Confidentiality Pledge.pdf	No	No	Fillable Printable
Form and Instruction	0	Appendix B2	Appendix B2 - home observation_8-17-2006.pdf	No	No	Fillable Printable

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 12 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,800	-5,785	9,585
Annual IC Time Burden (Hours)	2,153	-10,208	12,361
Annual IC Cost Burden (Dollars)	0	0	0

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.