Recordkeeping for New Vaccine and Mask Requirements to Mitigate the Spread of COVID-19 in Head Start

Forms and Documents

Document Name	Status
Suppporting Statement Emergency Approval_Vaccine-Head-Start-12.13.21.docx Supporting Statement A	2021-12-13

IC Document Collections

IC ID	Document Title	Status
250759	Grant Recipient Written Maintaining COVID-19 Testing Testing Protocol (ongoing)	New
250758	Grant Recipient Establishing COVID-19 Testing Protocol (one-time)	New
250757	Grant Recipient Recordkeeping Maintaining Complete Records of Vaccination Status (ongoing)	New
250756	Staff and Volunteer Requesting an Exemption (one-time)	New
250755	Staff and Volunteer Reporting of Existing Vaccination (one-time)	New
250754	Staff and Volunteer Reporting of New Vaccination (one-time)	New

ICR Details

OMB Control No:	ICR Reference No: 202112-0970-005
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Recordkeeping for New Vaccine and Mask Requirements to Mitigate the Spread of COVID-19 in Head Start
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 12/15/2021
Date Submitted to OIRA: 12/13/2021

	Requested	Previously Approved
Expiration Date	6 Months From Approved
Responses	1,053,535	0
Time Burden (Hours)	89,014	0
Cost Burden (Dollars)	0	0

---

Abstract: An Interim Final Rule with Comment Period (IFC) was published on November 30, 2021 that established the COVID-19 vaccination requirements whereby all Head Start staff (including some contractors) and volunteers working in classrooms or directly with children must be vaccinated by January 31, 2022 (86 FR 68052). The IFC also made, effective immediately upon publication, universal masking for all individuals two years of age and older. The recordkeeping only applies to the vaccination requirements of the IFC. All Head Start programs will need to 1) collect and maintain records on the vaccination status of staff and volunteers in Head Start and Early Head Start programs and 2) develop written COVID-19 protocol for testing individuals granted vaccine exemptions (this also includes the component for granting such exemptions). The burden associated with staff and volunteers to produce and provide such vaccination records are also considered in this information collection.

Emergency Justfication: ACF is requesting emergency review and approval of this information collection by OMB, as authorized under 44 U.S.C. 3507(subsection j). The proposed recordkeeping is necessary to promote the safety of Head Start program staff, volunteers, and enrollees and mitigate the spread of COVID-19. The information collection is essential to the mission of the agency and to ensure Head Start programs are able to meet new vaccination requirements.

---

Authorizing Statute(s): US Code: 42 USC 9836a(a)(1)(C)–(E)), (D) Name of Law: Head Start Act as amended by the Improving Head Start for School Readiness Act of 2007
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0970-AC90	Final or interim final rulemaking	86 FR 68052	11/30/2021

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Grant Recipient Establishing COVID-19 Testing Protocol (one-time)
Grant Recipient Recordkeeping Maintaining Complete Records of Vaccination Status (ongoing)
Grant Recipient Written Maintaining COVID-19 Testing Testing Protocol (ongoing)
Staff and Volunteer Reporting of Existing Vaccination (one-time)
Staff and Volunteer Reporting of New Vaccination (one-time)
Staff and Volunteer Requesting an Exemption (one-time)

---

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,053,535	0	0	1,053,535	0	0
Annual Time Burden (Hours)	89,014	0	0	89,014	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new recordkeeping requirement.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Yes

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/13/2021

---