Information Collection

Head Start Collaboration Office Annual Report

IC 238823 under ICR 202112-0970-004 · OMB 0970-0490.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0490 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Head Start Collaboration Office Annual Report	Form and Instruction
1 HSCO Annual Report HSCO_Annual_Report-Sept-21-clean.docx	Form and Instruction
1 HSCO Annual Report HSCO_Annual_Report-Sept-21-clean.docx	Form and Instruction
Head Start Collab - PPR Gen IC-10-11-18.doc Generic PPR Submission Form - HS Collab Office Annual Report	IC Document
Head Start Collab - PPR Gen IC-10-11-18.doc Generic PPR Submission Form - HS Collab Office Annual Report	IC Document
NOA - HS Collab Office Annual Rpt_Generic PPR_0970-0490_10.24.18.pdf NOA - HSCO Annual Report	IC Document
NOA - HS Collab Office Annual Rpt_Generic PPR_0970-0490_10.24.18.pdf NOA - HSCO Annual Report	IC Document
NonSub Change Request - HSCO Annual Report_C.docx NonSub Change Req - HSCO Annual Report Updates Sept 2021	IC Document
NonSub Change Request - HSCO Annual Report_C.docx NonSub Change Req - HSCO Annual Report Updates Sept 2021	IC Document

IC Title:

Head Start Collaboration Office Annual Report

Agency IC Tracking Number:

OHS

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	HSCO Annual Report	HSCO_Annual_Report-Sept-21-clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

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
	Requested	Previously Approved
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	162	162
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic PPR Submission Form - HS Collab Office Annual Report	Head Start Collab - PPR Gen IC-10-11-18.doc	12/09/2019
NOA - HSCO Annual Report	NOA - HS Collab Office Annual Rpt_Generic PPR_0970-0490_10.24.18.pdf	12/09/2019
NonSub Change Req - HSCO Annual Report Updates Sept 2021	NonSub Change Request - HSCO Annual Report_C.docx	09/02/2021

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