Information Collection

Individual Childcare Form for Caregiver

IC 179303 under ICR 200703-1850-005 · OMB 1850-0833.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1850-0833 can be found here:

Documents and Forms

Document Name Document Type
6. Individual Child Form for Caregiver_7.17.07.doc Other-Individual Child Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Individual Childcare Form for Caregiver	Agency IC Tracking Number:	3222

Is this a Common Form? No		IC Status: New

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-Individual Child Form			6. Individual Child Form for Caregiver_7.17.07.doc		No		Paper Only

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 167	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	167	167
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	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.