Head Start Management Fellows (HSMF) Program Feedback Surveys

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
a. HSMFP End-of-Session Feedback Survey.docx Other-Survey
b. HSMFP End-of-Program Feedback Survey.docx Other-Survey
c. HSMFP Follow-Up Survey.docx Other-Survey
OMB Approval Request HSMFP_3.docx Fast Track Submission Form - HSMF Feedback Surveys IC Document

Information Collection (IC) Details

IC Title:	Head Start Management Fellows (HSMF) Program Feedback Surveys	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	a. HSMFP End-of-Session Feedback Survey.docx	Yes	Yes	Fillable Fileable
Other-Survey	b. HSMFP End-of-Program Feedback Survey.docx	Yes	Yes	Fillable Fileable
Other-Survey	c. HSMFP Follow-Up Survey.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: 270	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	270	270
Annual IC Time Burden (Hours)	53	53
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Submission Form - HSMF Feedback Surveys	OMB Approval Request HSMFP_3.docx	02/21/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.