Head Start Program Grant Application

Forms and Documents

Document Name	Status
Form 1 Head Start Grant Application Form and Instruction	Modified
SuppStatement-Head Start Grant Application_4-19-22_final.docx Supporting Statement A	2022-04-20

IC Document Collections

IC ID	Document Title	Status
10041	Head Start Grant Application Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0207	ICR Reference No: 202204-0970-010
Status: Received in OIRA	Previous ICR Reference No: 202009-0970-015
Agency/Subagency: HHS/ACF	Agency Tracking No: OHS
Title: Head Start Program Grant Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/25/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2022
Responses	4,000	2,160
Time Burden (Hours)	100,000	71,280
Cost Burden (Dollars)	0	0

---

Abstract: Sections 641, 641A (codified at 45 CFR 1301 to 1305), 642 to 645A, 648A, 653 to 657A of the Head Start Act (the Act) prescribes requirements eligible entities must meet in order to receive funding under the Act. Applicants are required to demonstrate that they are or will meet Head Start requirements when submitting applications for funding under the Act. This request is for an extension with changes. The changes include additional system infrastructure for grantees applying for funds specifically related to facilities which includes a document repository for uploading supporting documentation into the system. The changes made do not impose new information collection requirements since grant recipients were already required to provide this documentation to apply for funding related to facilities as part of meeting federal requirements and the changes only provide a better structure to submit such information.

---

Authorizing Statute(s): US Code: 42 USC 9801 et seq. Name of Law: Head Start Act, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 1150	01/10/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 24168	04/22/2022
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Head Start Grant Application	1	Grant Application Instrument and Instruction

---

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	4,000	2,160	0	1,840	0	0
Annual Time Burden (Hours)	100,000	71,280	0	28,720	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The burden has been adjusted to reflect the increase in applications being required by grantees in response to increased funding appropriated by congress such as one-time funding in response to COVID-19, quality improvement, and duration (i.e., increased program hours).

---

Annual Cost to Federal Government: $7,887,500

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: 04/25/2022

---