Information Collection

Head Start staff (FSS) roster form

IC 214166 under ICR 201612-0970-004 · OMB 0970-0151.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0151 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment13_Head Start staff (FSS) roster form.docx	Other-Roster Form

IC Title:

Head Start staff (FSS) roster form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Roster Form			Attachment13_Head Start staff (FSS) roster form.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-20	20
Annual IC Time Burden (Hours)	-3	3
Annual IC Cost Burden (Dollars)	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.