Form 1 Grant Application Instrument and Instruction 2016

Head Start Program Grant Application

0970-0207-Grant Application Instrument and Instructions 2019

Head Start Grant Application

OMB: 0970-0207

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Head Start
Grant Application
2019
Re-Approval

THE PAPERWORK REDUCTION ACT OF 1995 (PUB. L. 104-13)
Public reporting burden for this collection of information is estimated to average 33 hours per
response, including the time for reviewing instructions, gathering and maintaining the data
needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number.

OMB Control No: 0970-0207
Expiration date: xx/xx/xx

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SF-424A

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SF-424

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Grantee Change

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Head Start Grant
Application Instructions
with Guidance
Version 3

Head Start Grant Application Instructions

Version 3 Released November 2017

Table of Contents
Instructions for the Complete Grant Application Package ......................................................................... 13
Instructions for the Application and Budget Justification Narrative .............................................................. 15
Introduction ............................................................................................................................................ 15
Baseline Application............................................................................................................................ 15
Continuation Application .................................................................................................................... 15
Special Instruction for Shortened Budget Periods .............................................................................. 15
General Formatting Requirements ..................................................................................................... 16
Terms and Definitions ......................................................................................................................... 16
Additional Definitions ......................................................................................................................... 17
Additional Resources on Program Goals............................................................................................. 17
Special Instruction on Supporting Documentation............................................................................. 17
Special Instruction on Community Assessment .................................................................................. 17
Section I. Program Design and Approach to Service Delivery................................................................ 18
Sub-Section A: Goals ........................................................................................................................... 18
Sub-Section B: Service Delivery........................................................................................................... 20
Sub-Section C: Governance, Organizational, and Management Structures ....................................... 25
Section II. Budget and Budget Justification Narrative ........................................................................... 27

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Instructions for the Complete Grant Application Package
Submit the complete grant application package in an electronic format using the Head Start Enterprise
System (HSES) at https://hses.ohs.acf.hhs.gov/hsprograms. The Grant Applications section is located
under the “Financials” tab. Incomplete applications will not be processed.
A complete grant application package requires completing the following application tabs in HSES:
• Program Schedule
• Budget
Signed Assurances
• Other Funding
After submitting the grant application, HSES automatically generates the
• SF-424A
following electronically signed assurances for download in the SF-424 tab:
• SF-424
1. SF-424B, Assurances – Non-Construction Programs;
• Documents
2. Certification Regarding Lobbying;
3.
4.

Certification Regarding Compliance with Compensation Cap (Level II of
Executive Schedule); and
Tax Certification Form.

What documents do I upload in the Documents tab in HSES?
Upload the following documents in their respective folders of the Grant Application Documents tab in
HSES. Do not upload any additional documents completed on-screen such as the SF-424 and signed
assurances.
Documents to Upload in HSES
Application and Budget Justification Narrative

Page Limit
60 Pages*

Results of Self-assessment and Improvement Plan
Governing Body and Policy Council Decisions
Selection Criteria *NEW*
Cost Allocation Plan *NEW*
Training and Technical Assistance Plan
Annual Report to the Public *NEW*
Program Goals, optional *NEW*
Indirect Cost Rate Agreement, or records showing adoption
of 10% de minimis indirect cost rate, if applicable
Other Supporting Documents, if applicable
Sample Delegate and/or Partnership Contracts, if applicable

N/A

Related Citation
Instructions with Citations
Begin on Page 5
45 CFR 1302.102(b)(2) and
(c)(iv-v)
Head Start Act
642(c)(1)(E)(iv)(V) &
642(c)(2)(D)(iii)
45 CFR 1302.14
45 CFR §75.415
Head Start Act 648(d)(1)
45 CFR 1302.102(d)(2)
Uniform Fiscal Regulations
45 CFR 75.414

*OHS understands some programs such as those with numerous delegates, complex models, significant changes,
and very large grantees may exceed the page limit.

Governing Body and Policy Council Decisions
Upload governing body approval and policy council approval or disapproval of the application:
1. Signed statements of the governing body and policy council chairs;
2. Governing body and policy council minutes documenting each group’s participation in the development
and approval of the application; and

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If the policy council did not approve the application, upload the required letter from the policy council
indicating its reasons for withholding approval.

Cost Allocation Plan
Upload a written cost allocation plan, certified in accordance with 45 CFR §75.415 that describes how shared
costs, including shared staff, are allocated based on proportional benefit as required in 45 CFR §75.406. Indirect
cost must be included unless the applicant has a negotiated indirect cost rate agreement or has adopted use of the
10% de minimis rate.

Training and Technical Assistance Plan
Upload the grantee’s plan for professional development of staff, parents, volunteers, governing body members
and policy council members. Assure the plan addresses mandatory training and priorities identified from ongoing
monitoring and the annual self-assessment.

Indirect Cost Rate Agreement
If applicable, upload a copy of the current or proposed negotiated indirect cost rate agreement between the
agency and/or delegate agencies and the respective cognizant Federal agency. If using the 10% de minimis indirect
cost rate, upload a copy of the policy or other written record indicating date upon which the rate was adopted.

Who should complete the grant application?
The completion of the grant application is a team effort. The application covers a wide range of topics
and activities and it represents a grantee’s commitment to the implementation of the program and use
of federal funds.
How do I receive assistance with application submission?
Please contact your Regional Office for assistance with the Application and Budget Justification
Narrative instructions.
HSES training materials and a User’s Guide to support submission are found in the "Instructions" section
of HSES. For further technical assistance, please contact [email protected] or 1-866-771-4737.

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Instructions for the Application and Budget Justification Narrative
Introduction
Grantees are required to submit funding applications for each year of the project period. The Office of
Head Start carefully considers each grantee’s annual application, beginning with the baseline, to assure
that agencies are meeting the intent of the Head Start mission, purpose, and regulations prior to issuing
the Notice of Award. The Office of Head Start analyzes each application to understand whether the
grantee’s proposed program design, services, and resources are aligned to meet the needs of the
children and families in their community, and to understand the program’s goals and progress toward
meeting those goals, as well as outcomes, throughout the grant’s project period.

Baseline Application
In the Baseline Application, grantees describe the program design, goals, approach to service delivery,
and supporting budget for the duration of their grant. This is an opportunity for the grantee to present
their strategies for meeting certain requirements and to ensure the delivery of high quality services,
including a program design that is responsive to the needs of the children and families in the
community.
Grantees applying for a non-competitive new grant would follow the instructions for submitting a
Baseline Application for the first year of the new grant. These grantees are in the final 12 months of
their current grant.
Grantees that received a grant through the competitive process and are submitting their first grant
application in HSES using these instructions would complete a Baseline Application. These grantees will
submit their baseline a few months up to a year after the start of their competitive new grant depending
on the length of their initial budget period.

Continuation Application
Following the baseline for the duration of the project period, grantees submit a Continuation
Application. In this application, grantees describe any changes to the program design, goals, approach
to service delivery, and supporting budget. Grantees provide a rationale for changes such as resulting
from ongoing oversight or using data for continuous improvement as described in 1302.102(b)-(c). Also,
grantees describe challenges with implementing the program design and how they are working to
address those challenges.

Special Instruction for Shortened Budget Periods
Grantees submitting an application for a budget period of less than 6 months must complete the budget
and schedule tabs within HSES, and submit only a budget justification (Section II) for the Application and
Budget Justification Narrative document; other tabs in HSES and supporting documents must also be
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completed. On the next application grantees must submit either a full baseline during the first year of
the project period or a full continuation application if it is later in the project period.
Reminder: If you have any questions about the narrative instructions, contact your Program Specialist.

General Formatting Requirements
1. Provide a Table of Contents within the narrative document
2. Each page must be double-spaced, with one-inch margins on all sides.
3. Use a font size of 12 for narrative.
4. Each page must be numbered in the lower right-hand corner.
The application must follow the sequential order of the application instructions for the narrative. Tables,
headers, and illustrations may have different formatting.

Terms and Definitions
Program Goals – Broad statements that describe what a program intends to accomplish. Program goals
should be strategic, long term, and responsive to the needs identified in the community assessment.
They include:
•
•
•

Goals for the provision of educational, health, nutritional, and family and community
engagement program services to further promote the school readiness of enrolled children;
School readiness goals; and
Effective health and safety practices to ensure children are safe at all times (programs may wish
to identify these as a stand-alone goal or as an objective related to another type of program
goal, i.e. a health goal).
School Readiness Goals – The expectations of children's status and progress across domains of
language and literacy development, cognition and general knowledge, approaches to learning,
physical well-being and motor development, and social and emotional development that will
improve their readiness for kindergarten (as defined in 45 CFR 1305.2).
Measurable Objectives – Support the attainment of goals that are Specific, Measurable,
Attainable, Realistic and Timely (SMART).

Progress – Forward movement toward the achievement of goals, objectives, and outcomes.
Outcomes – Something that happened as a result of an activity or process. The actual results achieved.
Challenges – Information describing obstacles to achieving program goals and objectives.
Evidence – Facts, information, documentation, or examples given to support an assertion.

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Additional Definitions
See Section 1305.2 of the HSPPS for additional definitions. For example, “service area”, “recruitment
area”, and “Head Start Early Learning Outcomes Framework: Ages Birth to Five” are defined in this
section.

Additional Resources on Program Goals
Training and Technical Assistance materials are available to help grantees complete their application
narrative. See the “Foundations for Excellence: Five-Year Planning and Continuous Improvement, 2nd
Edition” for additional assistance once released.
See Section 1302.102 of the HSPPS for requirements relating to achieving program goals.

Special Instruction on Supporting Documentation
A program must summarize critical information from supporting documentation into the narrative. For
example, do not provide additional documents to respond to criteria in the instructions unless
requested by the regional office.

Special Instruction on Community Assessment
The program must describe only those findings from the community assessment that informed the
proposed program design and approach to service delivery throughout the narrative. Do not upload the
full community assessment.

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Section I. Program Design and Approach to Service Delivery
Sub-Section A: Goals
Baseline Application Instructions

1. What are your Program Goals, Measurable Objectives, and Expected Outcomes for the project
period?
a. List all Program Goals
b. List all Measurable Objectives aligned to each program goal
c. To demonstrate the agency’s approach to measuring progress and outcomes, select a few
Measurable Objectives and describe the following:
i. Activities or action steps to meet the objective
ii. Data, Tools, or Methods for tracking Progress
iii. Expected Outcomes
iv. Expected Challenges
d. Only for grantees applying for a non-competitive new grant: Describe how your actual
Outcomes from the prior project period informed the above.
Below is an example of how to present your program goals and measurable objectives. We understand
that your organization may present the program goals differently than the example provided. The
number of goals and objectives shown are only for illustrative purposes. Two versions of a Program
Goals Template for the table below are available in HSES. A template can be updated throughout the
project period.
Example

Program Goals
Goal 1
Goal 2

Goal 3
…

Measurable Objective Description
• A
• B
• A
• B
• C
• A
• B
…

Select a few Measurable Objectives and provide the following to demonstrate the agency’s approach to
measuring progress and outcomes:
•

EXAMPLE: Goal 2 – Measurable Objective B selected
o (i) Description of activities or action steps to meet objective, (ii) data, tools, or methods for
tracking progress, (iii) expected outcomes, and (iv) expected challenges for this objective

Continue with other selected measurable goals…
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2. Explain how your program’s School Readiness Goals align with the Head Start Early Learning
Outcomes Framework: Ages Birth to Five, state and tribal early learning guidelines, as appropriate,
and requirements and expectations of the local schools where children will transition.
3. Discuss how your program involved governing body, policy council, and parents in developing the
Program Goals.

Continuation Application Instructions
1. If applicable, list any additions, deletions, or revisions to your Program Goals, Measurable
Objectives, and Expected Outcomes that have occurred since last year’s application and briefly
describe the reasons for those changes such as resulting from ongoing oversight or from using
data for continuous improvement as described in 1302.102(b)-(c). If no updates or changes have
occurred, include a sentence to that effect.
2. For each Program Goal:
a. Demonstrate your Progress/Outcomes this year toward meeting your Measurable
Objectives and Expected Outcomes.
b. Describe any Challenges in achieving progress towards Expected Outcomes and how your
program is working to address those Challenges.
Below is an example of how to present your program goals and measurable objectives. We understand
that your organization may present your goals differently than the example provided. Two versions of a
Program Goals Template for the table below are available in HSES. A template can be updated
throughout the project period.
Example
Program Goals
Goal 1
Goal 2

Goal 3
…

Measurable
Objectives
A
B
A
B
C
A
B
…

Progress/Outcomes

Challenges

Description

Description

…

…

3. If additions, deletions, or revisions were made to your program’s School Readiness Goals since
last year’s application, then describe how the revised goals align with the Head Start Early
Learning Outcomes Framework: Ages Birth to Five, state and tribal early learning guidelines, as
appropriate, and requirements and expectations of the local schools where children will
transition.
4. If additions, deletions, or revisions were made to your Program Goals since last year’s application,
then include information on how parents and the governing body were involved in those changes.

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Sub-Section B: Service Delivery
Baseline Application Instructions
In this sub-section, describe your program’s approach to meeting the need for comprehensive child
development services for eligible children and families in your service area.
Tip: The HSPPS provides additional information on the requirements for each topic and it is helpful to
follow the HSPPS alongside these instructions.
1. Service and Recruitment Area (see 1302.11(a) and 1302.13):
a. Identify the service and recruitment area for proposed program operations.
b. Provide Evidence to demonstrate that the proposed area is the area of greatest need.
c. If child care partners are proposed, identify the number of children proposed to be served
through partnership slots.
Reminder: If applicable, upload a sample delegate and/or partnership contract to the Documents tab.
2. Needs of Children and Families (see 1302.11(b) and Special Instruction on Community
Assessment):
Provide a summary of data from your community assessment that informs the program’s selection
criteria and design, such as:
a. the estimated number of eligible children under five years of age and pregnant women by
geographic location, race, ethnicity, and spoken language, including children experiencing
homelessness, in foster care, dual language learners, and with disabilities;
b. data regarding the education, health, nutrition, social service, child care, parent schedules,
and other service needs of the proposed children, families, and pregnant women; and
c. the availability of other child development, child care centers, and family child care
programs that serve eligible children, including home visiting, publicly-funded state and
local preschools, and the approximate number of eligible children served.
3. Proposed Program Option(s) and Funded Enrollment Slots (see 1302 Subpart B and the HSPPS
Compliance Table):
a. Specify the proposed program option(s) (i.e., center-based, home-based, and family child
care) and describe how your program will ensure compliance with 1302 Subpart B
requirements and other applicable requirements.
b. If requesting a locally-designed program option variation (LDO) waiver under 1302.24(c),
then provide the following:
i. Identify the program(s), Head Start and/or Early Head Start, for which the waiver
would apply.
ii. Identify the requirement(s) for which the waiver would apply:
A. Center-based ratios and group size - cannot be waived for children < 24 months
B. Center-based duration
C. Selection of home based-only setting in Head Start
D. Home-based caseloads
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E. Home-based duration
F. Family child care ratios and group size
G. Family child care duration
Note: The requirements in A-G above are the only ones that may be waived for this program option.
iii. Describe the rationale for the request.
iv. When waiving ratios and group sizes in center settings, specify how square footage
will meet applicable requirements.
v. Specify the proposed timetable for implementation of the option.
vi. Check to be certain the changes described are reflected in the program schedule tab.
vii. Explain how the program will measure progress to assure the LDO effectively
supports appropriate development and progress in children’s early learning
outcomes.
viii. If available, provide evidence that demonstrates the LDO variation is effective.
c. Discuss how your program option(s) will meet the needs of children and families in the
communities served.
d. Funded Enrollment Changes. If proposing to change or convert the number of funded
enrollment slots, explain the rationale.
i. Provide the funding amount for the Head Start and Early Head Start programs before
and after the change.
ii. Specify the number of Head Start and Early Head Start slots before and after the
change.
iii. If proposing to convert Head Start slots to Early Head Start slots, then:
A. Describe how the needs of eligible Head Start children will be met in the
community when the conversion takes place.
B. Describe how the chosen model(s) meets the needs of infants, toddlers, and
pregnant women.
C. Discuss the agency’s capacity to carry out an effective Early Head Start
program.
D. Discuss the qualifications, competencies, and training of staff, and describe the
facilities and program infrastructure to support the new or expanded Early
Head Start program.
E. Specify the proposed timetable for implementation of the conversion.
Reminder: Complete the “Program Schedule” tab for Head Start and/or Early Head Start.
Note: If proposing Funded Enrollment Changes, indicate the application includes a “Change in Scope”
request in HSES.
4. Centers and Facilities:
a. List any additions, deletions, or changes to your service locations, including partners, and
describe the reasons for changes.
b. Describe any minor renovations and repairs included within this application (not subject to a
separate 1303 Subpart E application).
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c. Describe any facilities activities that are subject to 1303 Subpart E, e.g., purchase,
construction, major renovation, loan or mortgage, and subordination agreement.
Reminder: Review the “Centers” tab in HSES to ensure all information is up-to-date.
Note: Funds for facilities activities subject to 1303 Subpart E must be requested in a separate 1303
Subpart E Application and the SF-429 Real Property Status Report Cover Page and its relevant
Attachment(s). Also, real property status is reported annually using the SF-429 Real Property Status
Report Cover Page and Attachment A.
5. Eligibility, Recruitment, Selection, Enrollment, and Attendance (see 1302.13, 1302.14, 1302.15,
and 1302.16):
a. Describe the recruitment process to ensure services will be provided to those in greatest
need of program services.
i. Describe specific efforts and expected challenges to actively locate, recruit, and
enroll vulnerable children, including children with disabilities, children experiencing
homelessness, and children in foster care.
b. Describe your program’s strategy to promote regular attendance including special efforts for
chronically absent children and other vulnerable children.
6. Education and Child Development (see 1302 Subpart C):
If center-based or family child care program option is chosen, respond to item a, and c through d.
If home-based program option is chosen, respond to items b through d. If locally designed
program option is chosen, respond to items that apply. Programs that serve American Indian and
Alaska Native (AIAN) children also respond to item e.
a. Center-based or family child care programs:
i. Identify the curriculum(a) your program will use including, if applicable, curricular
enhancements and/or significant adaptations.
ii. Describe how each identified curriculum is appropriate for ages and background of
children served, research-based, and has an organized developmental scope and
sequence.
iii. Include Evidence that each curriculum is aligned with the Head Start Early Learning
Outcomes Framework: Ages Birth to Five.
iv. Describe how your program will support staff to implement curriculum with fidelity.
b. Home-based programs:
i. Identify the home-based curriculum(a) your program will use including, if applicable,
curricular enhancements and/or significant adaptations
ii. Describe how each curriculum is appropriate for ages and background of children
served, research-based, promotes the parent’s role as the child’s teacher including,
as appropriate, the family’s traditions, culture, values, and beliefs, and has an
organized developmental scope and sequence, and how it is aligned with the Head
Start Early Learning Outcomes Framework: Ages Birth to Five.
iii. Describe how your program will support staff to implement the curriculum.
iv. Describe group socializations to be offered.
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c. Identify the developmental screenings and assessments your program plans to use and why,
including how the program addresses screening and assessment for children who are dual
language learners.
d. Describe opportunities offered to parents and family members to be engaged in their child’s
education such as participation in screenings and assessment, and providing feedback on
the selected curriculum and instructional materials.
e. For programs serving AIAN children, and where applicable, describe efforts for Tribal
language preservation, revitalization, restoration, or maintenance.
7. Health (see 1302 Subpart D):
a. Describe how your program will, in partnership with parents, meet the oral health,
nutritional, and mental health and social and emotional well-being, and health status and
care needs of children that are developmentally, culturally, and linguistically appropriate
and support each child’s growth and school readiness:
i. Include how your program will ensure up-to-date child health status, ongoing care,
and timely follow-up care.
ii. For mental health and social and emotional well-being, describe how a program will
provide mental health consultation services in partnership with staff and families.
8. Family and Community Engagement (see 1302 Subpart E):
a. Describe key program strategies for building trusting and respectful relationships with
families and for providing program environments and services that are welcoming and
culturally and linguistically responsive to families, including those specific to fathers.
b. Describe engagement activities to support parent-child relationships, child development,
family literacy, and language development including supporting bilingualism and biliteracy.
c. Describe how your program has selected and is implementing a research-based parenting
curriculum. Describe how your program engages parents in a research-based parenting
curriculum.
d. Describe key program strategies for family partnership services, including:
i. Procedures for conducting the family assessment and family partnership process and
aligning activities to the Parent, Family, and Community Engagement Framework
outcomes; and
ii. Tracking progress toward individual family goals and needs.
e. Provide a few examples of community partnerships that facilitate access to services or
resources in the community that are responsive to family partnership goals and children’s
needs. Identify any challenges to necessary partnerships and how the program plans to
address those challenges.
9. Services for Children with Disabilities (1302 Subpart F):
a. Describe how your program will ensure the full participation in program services and
activities for enrolled children with disabilities, including but not limited to those who are
eligible for services under IDEA and those who already have an IFSP or IEP.
b. Describe how your program will ensure the individualized needs of children with disabilities
are met, including how the program will collaborate with and help parents in the process

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and how the program will coordinate and collaborate with the local agency responsible for
implementing IDEA.
10. Transition (see 1302 Subpart G):
Describe strategies and practices to support successful transitions in:
a. Transitions to and from Early Head Start;
b. Transitions from Head Start to kindergarten; and
c. Transitions between programs.
11. Services to Enrolled Pregnant Women (see 1302 Subpart H):
a. Describe how your program facilitates access to a source of ongoing care for enrolled
pregnant women that do not have existing access to such care.
b. Describe your program’s strategy to provide prenatal and postpartum information,
education, and services such as those that address fetal development, nutrition, risks of
alcohol and drugs, postpartum recovery, and infant care and safe sleep practices.
c. Describe how your program’s family partnership services includes a focus on factors that
influence prenatal and postpartum maternal and infant health, includes other relevant
family members, and support the transition process.
12. Transportation (see 1303 Subpart F):
a. Describe the level of need for child transportation services.
b. Describe how your program will either directly meet transportation needs or assist families
in accessing other transportation so that children can attend the program.

Continuation Application Instructions
Provide updates to the following areas. Describe the rationale for any changes to your program design
such as new data from an updated community assessment, ongoing oversight, or from using data for
continuous improvement as described in 1302.102(b)-(c). If there are no updates or changes, include a
sentence to that effect. Where applicable, describe any challenges and how the program is working to
address those challenges.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Service and Recruitment Area
Needs of Children and Families
Chosen Program Option(s) and Funded Enrollment Slots
Centers and Facilities
Eligibility, Recruitment, Selection, Enrollment, and Attendance
Education and Child Development
Health
Family and Community Engagement
Services for Children with Disabilities
Transition
Services to Enrolled Pregnant Women
Transportation

Tip: See instructions from the Baseline Application for additional detail on each category.
Reminder: Make sure all HSES tabs are updated (e.g., Program Schedules, Centers, and Delegates)
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Sub-Section C: Governance, Organizational, and Management Structures
Baseline Application Instructions
In this section, describe the governance, organizational, and management structures that support quality
services and maintain accountability, efficiency, and leadership within your program.
Tip: Grantees are encouraged to use the Head Start Management Wheel as a reference tool.
1. Governance (see 45 CFR Part 1301 and Section 642(c)-(d) in the Act):
Structure
a. Identify the member (i) with expertise in fiscal management or accounting, (ii) with
expertise in early childhood education and development, and (iii) the licensed attorney
familiar with program governance issues in the governing body/tribal council.
b. Describe how your program ensures additional members on the governing body reflect the
community, including parents and representation from other key programmatic areas.
c. Describe the makeup of the policy council or if applicable, the policy committee. Include
how each program option is represented.
Processes
Governing Body
a. Describe how the governing body receives key program information as outlined in
1301.2(b)(2) to inform their ongoing responsibilities including how decisions submitted by
the policy council are incorporated into the decision-making process. Describe other key
processes to ensure the governing body maintains effective ongoing oversight of program
operations and accountability for federal funds.
b. If applicable, describe and explain the responsibilities delegated to any advisory committee
related to program governance and improvement of the Head Start program. Include how
the governing body maintains its legal and fiscal responsibility in the process.
Policy Council and Policy Committee
c. Describe how the policy council, and if applicable, the policy committee, receives and shares
key program information as outlined 1301.3(c)(2) to inform their ongoing responsibilities.
Parent Committees
d. Describe how the parent committees communicate with staff to inform program policies,
activities, and services to ensure they meet the needs of children and families.
e. Describe the process for communication with the policy council and policy committees.
Relationships
a. Describe training and technical assistance or orientation sessions for the governing body,
advisory committee members, and the policy council.
b. How does your program ensure governing body members do not have a conflict of interest
with the Head Start, Early Head Start, and delegate programs or other partners/vendors?
Describe any exception criteria applicable to a governing body member.
c. How do the governing body and policy council members ensure meaningful consultation
and collaboration around their joint decisions?
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2. Human Resources Management (see1302 Subpart I):
a. Provide an organizational chart identifying the management and staffing structure including
the Executive Director, the Program Directors, managers, and other key staff. Include
assigned areas of responsibility and lines of communication.
b. Describe systems developed to ensure criminal background checks occur prior to hire for all
staff, consultants, and contractors in the program.
c. Describe orientations provided to new staff, consultants, and volunteers.
d. Describe key features of your program’s approach to staff training and professional
development. Describe your program’s approach to implementing a research-based
coordinated coaching strategy, including the approach to the delivery of intensive coaching
for identified staff.
3. Program Management and Quality Improvement (see 1302 Subpart J):
a. Describe key features of your program’s systems for ongoing oversight, correction, and
assessment of progress towards your program’s identified goals. Include approaches that
promote effective teaching and health and safety practices.
b. Describe key features of your program’s management process and system to ensure
continuous program improvement that relate to effectively using data and ongoing
supervision to support individual staff professional development.
c. Describe how the management system ensures budget and staffing patterns that promote
continuity of care, allow sufficient time for staff participation in training and professional
development, and allow for provision of the full range of services.

Continuation Application Instructions
Provide updates to the following areas. If changes were made, describe the rationale for the changes
such as new data from an updated community assessment, ongoing oversight or from using data for
continuous improvement as described in 1302.102(b)-(c). If no updates or changes have occurred,
include a sentence to that effect. Where applicable, describe any challenges in these areas and how the
program is working to address those challenges.
Tip: See Requirements for Baseline Application above for additional detail on each category.
1. Governance
When providing updates to Processes, include examples of the governing body and policy council
using key program information (see 1301.2(b)(2) and 1301.3(c)(2)) to conduct its responsibilities.
Also include examples of parent committees informing program policies, activities, and services.
2. Human Resources Management
3. Program Management and Quality Improvement
When providing updates, include pending corrective actions from ongoing oversight and any new
procedures that prevent recurrence of previous quality and compliance issues, including
previously identified noncompliances/deficiencies, safety incidents, and audit findings.

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Section II. Budget and Budget Justification Narrative
Baseline and Continuation Application Instructions
A comprehensive budget aligns with the proposed program approach and identifies allowable costs, and
is aggregated by object class category. Grantee and, if applicable, each delegate agency must complete
separate budgets for Head Start and Early Head Start.
Reminder: Make relevant changes to application tabs in HSES where needed (e.g., Budget, SF-424).
Justify the budget by addressing the following:
1. Provide a detailed narrative to explain the costs by object class category identified within the SF424A Section B-6. Explain significant personnel and fringe adjustments for this budget period for
item a and b. For each item c through h, ensure the narrative aligns with the amounts requested
for direct and, if applicable, indirect costs.
2. Identify and explain each delegate agency agreement, partnership contract, and any single item
costing more than $150,000 in the “Contractual” and “Other” budget categories.
3. If applicable, describe the planned use of cost-of-living adjustment (COLA) funds based on the
related Program Instruction.
4. Describe key features of the organization’s financial and property management system and
internal controls in place to maintain effective control and accountability for grant funds,
property, and other assets. See requirements for financial management at 45 CFR §75.302 and
internal controls at §75.303.
5. Identify each source of non-federal match, including the estimated amount per source and the
valuation methodology. Explain how your program determined that proposed non-federal match
is allowable per 45 CFR §75.303 and Section 1303.4.
6. If proposing a waiver of the non-federal share match requirement, provide a detailed justification
that conforms with the criteria under Section 640(b)(1)-(5) of the Act.
7. If proposing a waiver of the 15% limitation on development and administrative costs, provide a
justification that meets the requirements of Section 1303.5 and contact your regional office for
additional guidance.
8. If requesting an enrollment reduction request, describe the budget implications of the reduction
request and any cost-savings measures considered prior to seeking the enrollment reduction.
9. If requesting a conversion (see Section 1302.20(c)):
a. Identify the amount of funds that will be re-allocated by object class category to convert
Head Start to Early Head Start services. Explain the changes in each object class category.
b. Describe start-up costs from the annual operational funds that would be necessary to
implement the proposed conversion request based on the timetable in item 3.d.iii.E of SubSection B of these instructions.
c. Discuss one-time funding necessary for the conversion and how the agency intends to
secure such funding.

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10. If requesting funds for the purchase, construction, or major renovation of facilities not previously
approved, explain the need for and proposed use of such funds. Identify all proposed sources of
funding for facilities activities and submit supporting documentation.
Note: For facility activities subject to Part 1303 Subpart E, a separate submission of form SF-429, with
Attachment B, and compliance with application requirements in Part 1303 Subpart E is required. No
Head Start grant funds may be used towards the cost of acquisition, construction, or major renovation
of a facility without the express prior written approval of the OHS and ACF.
11. If requesting funds for equipment, describe the procurement procedures to be followed for the
purchase of such equipment. See equipment definition at 45 CFR §75.2.

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