Information Collection

Head Start Program Information Report

IC 10166 under ICR 202012-0970-012 · OMB 0970-0427.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0427 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Head Start Program Information Report	Form and Instruction
1 Program Information Report 2020-2021 PIR Form - V1.1-7-31-20-Final.docx	Form and Instruction
NonSub Change Request-0970-0427-Program Information Report.docx Memo - Nonsubstantive Change Request - August 2020	IC Document

IC Title:

Head Start Program Information Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	Program Information Report	2020-2021 PIR Form - V1.1-7-31-20-Final.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: 3,404

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,404	3,404
Annual IC Time Burden (Hours)	3,404	3,404
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Memo - Nonsubstantive Change Request - August 2020	NonSub Change Request-0970-0427-Program Information Report.docx	08/03/2020

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