Information Collection

Office of Head Start Survey on COVID-19 Mitigation Plan

IC 262704 under ICR 202310-0970-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
COVID-19 Mitigation Plan Survey-July 2023.docx	Other-Survey
COVID-19 Mitigation Plan Survey-July 2023.docx	Other-Survey
Submission for Monitoring Generic -COVID-19 Mitigation Plan_0970-0558_fnl.docx Monitoring GenIC Submission Form - Office of Head Start Survey on COVID-19 Mitigation Plan	IC Document
Submission for Monitoring Generic -COVID-19 Mitigation Plan_0970-0558_fnl.docx Monitoring GenIC Submission Form - Office of Head Start Survey on COVID-19 Mitigation Plan	IC Document
NOA_OHS COVID-19 Mitigation Plan survey_Monitoring GenIC_0970-0558_7.10.23.pdf NOA - Office of Head Start Survey on COVID-19 Mitigation Plan	IC Document
NOA_OHS COVID-19 Mitigation Plan survey_Monitoring GenIC_0970-0558_7.10.23.pdf NOA - Office of Head Start Survey on COVID-19 Mitigation Plan	IC Document

IC Title:

Office of Head Start Survey on COVID-19 Mitigation Plan

Agency IC Tracking Number:

OHS

IC Status: New

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			COVID-19 Mitigation Plan Survey-July 2023.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: 100

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Monitoring GenIC Submission Form - Office of Head Start Survey on COVID-19 Mitigation Plan	Submission for Monitoring Generic -COVID-19 Mitigation Plan_0970-0558_fnl.docx	10/05/2023
NOA - Office of Head Start Survey on COVID-19 Mitigation Plan	NOA_OHS COVID-19 Mitigation Plan survey_Monitoring GenIC_0970-0558_7.10.23.pdf	10/05/2023

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