Head Start Program Grant Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Grant Application Instrument and Instruction	Form and Instruction	Modified	Available
Form 1 Head Start Grant Application	Form and Instruction	Modified	Repair queued
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-27	Available
NonSub Change - Update to ACF ICs - Protecting Women EO - Upcoming submissions.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-02-27	Repair queued
NonSub Change Request Grant Application 1_23_2024.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-01-23	Available
NonSub Change Request Grant Application 1_23_2024.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-01-23	Repair queued
Response to Public Comment 30-Day Period.docx	Supplementary Document	Uploaded 2022-06-27	Repair queued
Response to Public Comment 30-Day Period.docx	Supplementary Document	Uploaded 2022-06-27	Repair queued
SuppStatement-Head Start Grant Application_4-19-22_final_6.27.22.docx	Supporting Statement A	Uploaded 2022-06-27	Repair queued
SuppStatement-Head Start Grant Application_4-19-22_final_6.27.22.docx	Supporting Statement A	Uploaded 2022-06-27	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
10041	Head Start Grant Application	Form and Instruction	Modified	Grant Application Instrument and Instruction
10041	Head Start Grant Application	Form and Instruction	Modified

ICR Details

OMB Control No: 0970-0207	ICR Reference No: 202502-0970-026
Status: Historical Active	Previous ICR Reference No: 202401-0970-011
Agency/Subagency: HHS/ACF	Agency Tracking No: OHS
Title: Head Start Program Grant Application
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: 04/10/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2025
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	4,000	0	4,000
Time Burden (Hours)	100,000	0	100,000
Cost Burden (Dollars)	0	0	0

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Abstract: The Head Start Grant Application collects information from all Head Start and Early Head Start grant recipients for Head Start funding including program budgets and narratives. The information is collected on an annual basis when grant recipients apply for their annual funding. Prior to receiving annual Head Start federal funds, Head Start grant recipients must complete a grant application package which includes Head Start Grant Application tabs in the Head Start Enterprise System (HSES), an application and budget justification narrative, and upload other applicable documents. The Office of Head Start has identified nonsubstantive changes to the Head Start Grant Application to provide clarifications; ensure alignment with ACF-IM-HS-22-09 Enrollment Reductions and Conversion of Head Start Slots to Early Head Start Slots; and provide additional descriptions, tips, and reminders to improve the overall quality of applications. ACF has implemented changes in response to recent presidential actions.

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Authorizing Statute(s): US Code: 42 USC 9801 et seq. 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 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

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

table that charts list of burden

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

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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	4,000	4,000	0	0	0	0
Annual Time Burden (Hours)	100,000	100,000	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: $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

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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: 03/28/2025

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