Information Collection

Office of Head Start Survey on Background Checks and Staffing

IC 255384 under ICR 202304-0970-004 · OMB 0970-0558.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Background Checks Workforce Survey Form Final for OMB 8-18-22.docx	Other-Survey
Background Checks Workforce Survey Form Final for OMB 8-18-22.docx	Other-Survey
Submission Template for Monitoring Generic _0970-0558 OHS Background Checks 2022_revised.docx Monitoring GenIC - OHS Background Checks Survey	IC Document
Submission Template for Monitoring Generic _0970-0558 OHS Background Checks 2022_revised.docx Monitoring GenIC - OHS Background Checks Survey	IC Document

IC Title:

Office of Head Start Survey on Background Checks and Staffing

Agency IC Tracking Number:

OHS

IC Status: Unchanged

Obligation to Respond: Voluntary

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
Other-Survey			Background Checks Workforce Survey Form Final for OMB 8-18-22.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: 150

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: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Monitoring GenIC - OHS Background Checks Survey	Submission Template for Monitoring Generic _0970-0558 OHS Background Checks 2022_revised.docx	08/19/2022

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