Part 2, Stage - Key Staff

Evaluation of the Head Start Region III: "I am Moving, I am Learning" Program

Documents and Forms

Document Name Document Type
Head Start IMIL Stage 3 SV Key Staff Int.doc Other-Other
OMB-APC-p1-dir-manager-sitevisitinterview for formatting.doc Other-Other
OMB-APC-P4-PrgmMng.doc Summary Report Template for the Site Interview with Program Managers IC Document

Information Collection (IC) Details

IC Title:	Part 2, Stage - Key Staff	Agency IC Tracking Number:

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-Other			Head Start IMIL Stage 3 SV Key Staff Int.doc		No	No	Paper Only
Other-Other			OMB-APC-p1-dir-manager-sitevisitinterview for formatting.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 48	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Summary Report Template for the Site Interview with Program Managers	OMB-APC-P4-PrgmMng.doc	02/26/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.