Tracking of Participants in the Early Head Start Research and Evaluation Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SSB EHSREP Tracking_021313_final.doc	Supporting Statement B	Uploaded 2013-02-14	Available
ATTACHMENT L New Well-Being Items.pdf	Supplementary Document	Uploaded 2013-02-14	Available
ATTACHMENT K Third-Party Contact Script REV 3.doc	Supplementary Document	Uploaded 2013-06-05	Available
ATTACHMENT I Thank You Letter.pdf	Supplementary Document	Uploaded 2013-02-14	Available
ATTACHMENT H Brochure REV3.doc	Supplementary Document	Uploaded 2013-06-05	Available
ATTACHMENT G Email Reminder REV.doc	Supplementary Document	Uploaded 2013-06-05	Available
ATTACHMENT F Email Invitation REV.doc	Supplementary Document	Uploaded 2013-06-05	Available
ATTACHMENT E Mail Cover Letter REV.doc	Supplementary Document	Uploaded 2013-06-05	Available
SSA EHSREP Tracking_021313_final.doc	Supporting Statement A	Uploaded 2013-02-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196069	Administrative Records Consent Form	Other-Consent	Modified
196068	Tracking Survey	Other-Survey	Modified

ICR Details

OMB Control No: 0970-0388	ICR Reference No: 201302-0970-006
Status: Historical Active	Previous ICR Reference No: 201101-0970-003
Agency/Subagency: HHS/ACF	Agency Tracking No: 18838
Title: Tracking of Participants in the Early Head Start Research and Evaluation Project
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/05/2013
	Date Received in OIRA: 02/25/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	36 Months From Approved
Responses	3,100	0	0
Time Burden (Hours)	678	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval for a three-year clearance to conduct tracking of children/families who participated in the Early Head Start Research and Evaluation Project (EHSREP). The purpose of tracking these participants is to maintain up-to-date contact information for the children/families in the event that ACF determines that a future follow-up to the EHSREP will take place.

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Authorizing Statute(s): PL: Pub.L. 105 - 285 649 Name of Law: Head Start Act
  

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:
	77 FR 59925	10/01/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 12066	02/21/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Tracking Survey
Administrative Records Consent Form

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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	3,100	0	0	0	3,100	0
Annual Time Burden (Hours)	678	0	0	0	678	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $696,765

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: 02/25/2013

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