Head Start Health Managers Descriptive Study

Forms and Documents

Document Name	Status
Appendix M Survey questions by core and supplement.xlsx Supplementary Document	2012-11-07
Appendix L4_SupportLetterTemplate_120802.doc Supplementary Document	2012-11-07
Appendix L3_StudySummary_120802.doc Supplementary Document	2012-11-07
Appendix L2_TribalHSAdminLetter_120802.doc Supplementary Document	2012-11-07
Appendix L1_TribalChairpersonsLetter_120802.doc Supplementary Document	2012-11-07
HSHMDS OMB PartB_121105.docx Supporting Statement B	2012-11-07
Appendix K Recruitment Scripts_120306v2 clean.docx Supplementary Document	2012-11-07
Appendix J Responses to FR Notice_120306 clean.docx Supplementary Document	2012-03-09
Appendix H Sources for Questionnaire_11_06_2012.docx Supplementary Document	2012-11-07
Appendix G Illustrative MMIC Screen Shots_120306 clean.docx Supplementary Document	2012-03-09
Appendix F Research Question Matrix_121105 clean.xlsx Supplementary Document	2012-11-07
Appendix A PL 110-134_Sec649.pdf Supplementary Document	2012-03-09
HSHMDS OMB PartA_121105.doc Supporting Statement A	2012-11-07

IC Document Collections

IC ID	Document Title	Status
201573	HS Teacher, Family Srvc Wrkr, and HV Interview Other-Interview	New
201572	Head Start Health Manager Interviews Other-Interview	New
201571	Head Start Health Manager Survey Other-Survey	New
201570	Head Start Director Survey Other-Survey	New

ICR Details

OMB Control No: 0970-0415	ICR Reference No: 201203-0970-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Head Start Health Managers Descriptive Study
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/07/2012
	Date Received in OIRA: 03/15/2012
Terms of Clearance: Approved as revised by ACF.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2013	12 Months From Approved
Responses	5,870	0	0
Time Burden (Hours)	4,418	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is proposing a data collection activity that will provide descriptive data about the Head Start Health Component. The goals of the Head Start Health Manager Descriptive Study are 1) to describe the characteristics of Health Managers and related staff in Head Start (HS) and Early Head Start (EHS) programs; 2) to identify the current landscape of health programs and services being offered to children and families; 3) to determine how health initiatives are prioritized, implemented, and sustained; and 4) to identify the programmatic features and policy levers that exist to support health services including staffing, environment, and community collaboration. These objectives will be accomplished through an online survey of all HS/EHS Health Managers, including American Indian/Alaskan Native and Migrant and Seasonal Head Start grantees. The survey responses will be further informed by semi-structured interviews conducted with a subsample of Head Start Health Managers, teachers, family service workers, and home visitors.

---

Authorizing Statute(s): PL: Pub.L. 110 - 134 649 Name of Law: Head Start for School Readiness Act of 2007
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 1694	01/11/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 15375	03/15/2012
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Head Start Health Manager Survey
Head Start Health Manager Interviews
HS Teacher, Family Srvc Wrkr, and HV Interview
Head Start Director Survey

---

ICR Summary 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	5,870	0	0	5,870	0	0
Annual Time Burden (Hours)	4,418	0	0	4,418	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: No

Burden Reduction Due to:

Short Statement: This is a new information collection request.

---

Annual Cost to Federal Government: $223,921

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

---

Common Form ICR:  No

---

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: 03/15/2012

---