Head Start Program Grant Application

Forms and Documents

Document	Type	Status	Availability
Form 1 Grant Application Instrument and Instruction	Form and Instruction	Unchanged	Available
NonSub Change Requesr_HS Grant App final SSA.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-09-05	Repair queued
Supporting Statement A_Head Start Grant Application_8.20.25_clean.docx	Supporting Statement A	Uploaded 2025-09-05	Available

IC Document Collections

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

ICR Details

OMB Control No: 0970-0207	ICR Reference No: 202509-0970-001
Status: Active	Previous ICR Reference No: 202507-0970-007
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: 09/05/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/05/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2028	09/30/2028	09/30/2028
Responses	3,200	0	3,200
Time Burden (Hours)	64,000	0	64,000
Cost Burden (Dollars)	0	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. To receive Head Start funding, Head Start grant recipients must apply for such funds. The Head Start Grant Application is used by the Office of Head Start to gather the necessary information from eligible entities applying for Head Start funding. This collection targets current Head Start grantees submitting non-competitive applications, including those applying for baseline funding (first year of a new grant period) and continuation funding (subsequent years in a project period). ACF requested changes to reduce the burden of these requirements related to documentation while still meeting the requirements under the Act. See Supporting Statement A for additional information. This request was approved but the final version of the Supporting Statement A was not included with the documents for approval. This nonsubstantive change updates to include the correct version.

---

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:
	90 FR 20677	05/15/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 32011	07/16/2025
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 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	3,200	3,200	0	0	0	0
Annual Time Burden (Hours)	64,000	64,000	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: The burden has been adjusted to reflect the reduction in the amount of documentation required from grant recipients in both the baseline application and the continuation application.

---

Annual Cost to Federal Government: $7,590,000

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: 09/05/2025

---