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Instrument 3: Parent consent form
OPRE Evaluation: The Early Head Start Family and Child Experiences Survey (Baby FACES)—2020 [Nationally-representative descriptive study]
OMB: 0970-0354
IC ID: 227598
OMB.report
HHS/ACF
OMB 0970-0354
ICR 202109-0970-011
IC 227598
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0354 can be found here:
2022-03-08 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
A3. Parent Consent Form_2022_clean.docx
Other-Consent
A3. Parent Consent Form_2022_clean.docx
Other-Consent
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Instrument 3: Parent consent form
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
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Consent
A3. Parent Consent Form_2022_clean.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,495
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
1,248
0
-369
0
0
1,617
Annual IC Time Burden (Hours)
212
0
-64
0
0
276
Annual IC Cost Burden (Dollars)
0
0
0
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.