Head Start Program Information Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Center Locations and Contacts	Form and Instruction	Unchanged	Available
Form 1 Center Locations and Contacts	Form and Instruction	Unchanged	Repair queued
Form 1 Monthly Enrollment	Form and Instruction	Unchanged	Available
Form 1 Monthly Enrollment	Form and Instruction	Unchanged	Repair queued
Form 1 Program Information Report 2023-2024	Form and Instruction	Modified	Available
Form 1 Program Information Report 2022-2023	Form and Instruction	Modified	Available
Form 1 Program Information Report 2021-2022	Form and Instruction	Modified	Available
Form 1 Head Start Program Information Report	Form and Instruction	Modified	Repair queued
NonSub Change Request 6-5-23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-05	Available
NonSub Change Request 6-5-23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-06-05	Repair queued
Supporting Statement-Head Start Program Information Report-4-27-22_final clean 6.24.22.docx	Supporting Statement A	Uploaded 2022-06-24	Available
Supporting Statement-Head Start Program Information Report-4-27-22_final clean 6.24.22.docx	Supporting Statement A	Uploaded 2022-06-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198343	Center Locations and Contacts	Form and Instruction	Unchanged	Center Locations and Contacts
198343	Center Locations and Contacts	Form and Instruction	Unchanged
198342	Monthly Enrollment	Form and Instruction	Unchanged	Monthly Enrollment
198342	Monthly Enrollment	Form and Instruction	Unchanged
10166	Head Start Program Information Report	Form and Instruction	Modified	Program Information Report 2023-2024
10166	Head Start Program Information Report	Form and Instruction	Modified	Program Information Report 2022-2023
10166	Head Start Program Information Report	Form and Instruction	Modified	Program Information Report 2021-2022
10166	Head Start Program Information Report	Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0427	ICR Reference No: 202306-0970-001
Status: Historical Active	Previous ICR Reference No: 202204-0970-019
Agency/Subagency: HHS/ACF	Agency Tracking No: OHS
Title: Head Start Program Information Report
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/07/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/06/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2025	06/30/2025	06/30/2025
Responses	70,800	0	70,800
Time Burden (Hours)	11,760	0	11,760
Cost Burden (Dollars)	0	0	0

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Abstract: Section 650 of the Head Start Act (42 U.S.C. 9846) requires that the Secretary of the Department of Health and Human Services (HHS) prepare and submit a report to the Congress at least once during every 2-year period. Section 641A of the Head Start Act of 2007 (42 U.S.C. 9836A) requires that the Office of Head Start (OHS) collect enrollment information from grant recipients on a monthly basis to determine whether grant recipients maintain their funded enrollment. Section 644 of the Head Start Act (42 U.S.C. 9839) requires each Head Start agency to make available to the public a report published at least once in each fiscal year. OHS is requesting an extension, with changes, of the Head Start Program Information Report information collection authority. The following instruments are included in this information collection: (1) the Program Information Report Form (PIR), (2) monthly enrollment, and (3) center locations and contacts.

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Authorizing Statute(s): PL: Pub.L. 110 - 134 641A; 644; 650 Name of Law: Head Start Act, as amended
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 2159	01/13/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 25274	04/28/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Center Locations and Contacts	1	Center Locations and Contacts
Head Start Program Information Report	1, 1, 1	Program Information Report 2021-2022 ,   Program Information Report 2022-2023 ,   Program Information Report 2023-2024
Monthly Enrollment	1	Monthly Enrollment

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	70,800	70,800	0	0	0	0
Annual Time Burden (Hours)	11,760	11,760	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,733,600

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.     Yes

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

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Common Form ICR:  No

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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: 06/06/2023

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