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Instrument 2: Child roster form (from EHS staff)
OPRE Evaluation: The Early Head Start Family and Child Experiences Survey (Baby FACES)—2020 [Nationally-representative descriptive study]
OMB: 0970-0354
IC ID: 227597
OMB.report
HHS/ACF
OMB 0970-0354
ICR 202203-0970-002
IC 227597
( )
Documents and Forms
Document Name
Document Type
A2. Baby FACES 2022 Child Roster_for OMB-clean.docx
Other-Roster Form
A2. Baby FACES 2022 Child Roster_for OMB-clean.docx
Other-Roster Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Instrument 2: Child roster form (from EHS staff)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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-Roster Form
A2. Baby FACES 2022 Child Roster_for OMB-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:
252
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
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
126
0
0
0
0
126
Annual IC Time Burden (Hours)
42
0
0
0
0
42
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.