Information Collection

Instrument 5: Head Start Other Staff interview

IC 238030 under ICR 202007-0970-010 · OMB 0970-0538.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0538 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument 5 COVID edits - HS Other Staff Interview_final 070620 clean.docx	Other-Interview
NonSub Change Request_HS Connects.docx Memo - NonSub Change_COVID-19	IC Document

IC Title:

Instrument 5: Head Start Other Staff interview

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Interview			Instrument 5 COVID edits - HS Other Staff Interview_final 070620 clean.docx		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18

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
	Approved	Previously Approved
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo - NonSub Change_COVID-19	NonSub Change Request_HS Connects.docx	07/23/2020

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