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PDF Version, Color Printable PDF Version of this report

 

 

OMB NO. 0970-0008
APPROVAL EXPIRES: 12/31/2007
MPR Reference No.: 6028-004 Mathematica Policy Research, Inc.

 

Survey of Early Head Start Programs

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Table of Contents

January 2005

 

MPR ID #: |__|__|__|__|__|__|__|__|
GRANT # AND DELEGATE: |__|__|__|__|__|-|__|__|__|
Early Head Start Program: ______________________________
Mailing Address: ______________________________________
Location Address: _____________________________________
Telephone Number :
(|__|__|__|)- |__|__|__|- |__|__|__|__|
  Area Code Number
Fax Number :
(|__|__|__|)- |__|__|__|- |__|__|__|__|
  Area Code Number
Director’s Name: _______________________
E-mail Address: ________________________

 

 

 

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0992 0008. The time required to complete this information collection is estimated to average 180 minutes per respondent, including the time to review instructions, gather the data needed, and complete and review the information collected. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: U.S. Department of Education, Institute of Education Sciences, 555 New Jersey Avenue, NW, Washington, DC 20208.


 

 

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