Information Collection

Head Start Grant Application

IC 10041 under ICR 202009-0970-015 · OMB 0970-0207.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0207 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Head Start Grant Application	Form and Instruction
1 Grant Application Instrument and Instruction Head Start Grant Application Instrument and Instructions-9-28-20.docx	Form and Instruction
NonSub Change Request-0970-0207-Grant Application-9-28-20.docx NonSub Change Request Memo - COVID-19 - September 2020	IC Document

IC Title:

Head Start Grant Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form and Instruction	1	Grant Application Instrument and Instruction	Head Start Grant Application Instrument and Instructions-9-28-20.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,160

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,160	2,160
Annual IC Time Burden (Hours)	71,280	71,280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NonSub Change Request Memo - COVID-19 - September 2020	NonSub Change Request-0970-0207-Grant Application-9-28-20.docx	09/29/2020

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