Head Start Program Grant Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Head Start Grant Application	Form and Instruction	Modified	Available
0970-0207-Grant Application-Supporting Statement-2019.doc	Supporting Statement A	Uploaded 2019-03-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
10041	Head Start Grant Application	Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0207	ICR Reference No: 201903-0970-005
Status: Historical Active	Previous ICR Reference No: 201602-0970-010
Agency/Subagency: HHS/ACF	Agency Tracking No: OHS
Title: Head Start Program Grant Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/29/2019
	Date Received in OIRA: 03/27/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved	06/30/2019
Responses	2,160	0	2,000
Time Burden (Hours)	71,280	0	66,000
Cost Burden (Dollars)	0	0	0

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Abstract: Sections 641, 642, 643, and 644 of the Head Start Act prescribes requirements Head Start program applicants must meet and the services applicants must provide in order to be eligible to receive funding under the Head Start Act. Applicants are required to demonstrate that they are meeting Head Start requirements when submitting applications for continued funding. The Office of Head Start is requesting an extension, with changes, of the Head Start Grant Application information collection which grantees use to provide information that is requested from all Head Start and Early Head Start grantees applying for their funding. Public Law 110-134, Improving Head Start for School Readiness Act of 2007, reauthorized the Head Start program and Congress called for a review and revision of the Head Start Program Performance Standards (HSPPS). The Administration for Children and Families published a Final Rule on Sept. 1, 2016 revising the HSPPS. Changes to this information collection are minor and consist of updated fields and guidance in the Head Start Enterprise System to accommodate submission of documentation that resulted from changes to the HSPPS.

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Authorizing Statute(s): US Code: 42 USC 9801 et seq. Name of Law: Head Start Act, as amended
  

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:
	83 FR 65679	12/21/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 11305	03/26/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Head Start Grant Application	1	Grant Application Instrument and Instruction 2016

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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	2,160	2,000	0	160	0	0
Annual Time Burden (Hours)	71,280	66,000	0	5,280	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: Changing Regulations

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

Burden Reduction Due to:

Short Statement: There is an adjustment due to the increase in the annual number of respondents. The annualized cost was updated in section A12 per new OMB guidance.

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Annual Cost to Federal Government: $8,937

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 03/27/2019

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