Information Collection

Partnerships for Sustained Learning: A Guide to Creating Head Start-School Partnerships - State

IC 201591 under ICR 201203-0970-004 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HS Partnerships Guide CLEARANCE doc 1 31 12.docx	Instruction
HSContinBlueprintv5AFinlo.pdf	Instruction
Fous Group Template HS Partnerships PILOT Focus Group Template-1.docx	Form and Instruction

IC Title:

Partnerships for Sustained Learning: A Guide to Creating Head Start-School Partnerships - State

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			HS Partnerships Guide CLEARANCE doc 1 31 12.docx	Yes	Yes	Printable Only
Instruction			HSContinBlueprintv5AFinlo.pdf	Yes	No	Printable Only
Form and Instruction	none	Fous Group Template	HS Partnerships PILOT Focus Group Template-1.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	10	0	0	0	0	0
Annual IC Time Burden (Hours)	240	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
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.