Head Start Impact Study (HSIS) -- tracking survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
HSIS Tracking OMB Supporting Statement B FINAL 033012.docx	Supporting Statement B	Uploaded 2012-04-19	Available
Appendix E - Advance Letter 033012.docx	Supplementary Document	Uploaded 2012-04-19	Available
Appendix D - Westat Confidentiality Pledges.docx	Supplementary Document	Uploaded 2012-02-09	Available
Appendix C - Advisory Committee Members.docx	Supplementary Document	Uploaded 2012-02-09	Available
HSIS Tracking OMB Supporting Statement A FINAL 033012.doc	Supporting Statement A	Uploaded 2012-04-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186923	Tracking of Participants in the Head Start Impact Study	Other-Tracking Instrument	Modified

ICR Details

OMB Control No: 0970-0229	ICR Reference No: 201202-0970-004
Status: Historical Active	Previous ICR Reference No: 200810-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Head Start Impact Study (HSIS) -- tracking survey
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/20/2012
	Date Received in OIRA: 02/16/2012
Terms of Clearance: Approved as revised by ACF.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2015	36 Months From Approved	04/30/2012
Responses	4,235	0	4,667
Time Burden (Hours)	1,412	0	1,167
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request will enable ACF to collect updated information on the respondents in the Head Start Impact Study so the agency may track respondents in preparation for a follow up during or soon after the high school years.

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Authorizing Statute(s): PL: Pub.L. 105 - 285 649(g) Name of Law: Coats Human Services
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 26303	05/06/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 8878	02/15/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Tracking of Participants in the Head Start Impact Study

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,235	4,667	0	-432	0	0
Annual Time Burden (Hours)	1,412	1,167	0	245	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This request increases burden minimally. The increase is due to a slight increase in time provided to complete the tracking instrument, from 1/4 of an hour to 1/3 of an hour.

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Annual Cost to Federal Government: $795,720

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/16/2012

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