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3. Follow-up home-based provider and assistant survey
Building and Sustaining the Child Care and Early Education Workforce (BASE)
OMB: 0970-0615
IC ID: 261154
OMB.report
HHS/ACF
OMB 0970-0615
ICR 202408-0970-001
IC 261154
( )
Documents and Forms
Document Name
Document Type
Instrument 3_Follow-up home-based provider and assistant survey_BASE_asst subset revised 12.21 clean.docx
Other-survey - assistant subset
Instrument 3_Follow-up home-based provider and assistant survey_BASE_asst subset revised 12.21 clean.docx
Other-survey - assistant subset
Instrument 3_Follow-up home-based provider and assistant survey_BASE_provider subset_revised 12.21 clean.docx
Other-survey - provider subset
Instrument 3_Follow-up home-based provider and assistant survey_BASE_provider subset_revised 12.21 clean.docx
Other-survey - provider subset
Instrument 3S Follow-up Home-Based Provider and Assistant Survey (Spanish version) FINAL.pdf
Other-Survey (Spanish)
Instrument 3S Follow-up Home-Based Provider and Assistant Survey (Spanish version) FINAL.pdf
Other-Survey (Spanish)
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
3. Follow-up home-based provider and assistant survey
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-survey - assistant subset
Instrument 3_Follow-up home-based provider and assistant survey_BASE_asst subset revised 12.21 clean.docx
Yes
Yes
Fillable Fileable
Other-survey - provider subset
Instrument 3_Follow-up home-based provider and assistant survey_BASE_provider subset_revised 12.21 clean.docx
Yes
Yes
Fillable Fileable
Other-Survey (Spanish)
Instrument 3S Follow-up Home-Based Provider and Assistant Survey (Spanish version) FINAL.pdf
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:
OPRE Research and Evaluation Project Records, 09-80-0361
FR Citation:
87 FR 57198
Number of Respondents:
95
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
127
0
0
0
0
127
Annual IC Time Burden (Hours)
53
0
0
0
0
53
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.