Fast Track PRA Submission Short Form

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Request for Approval under the “Administration for Children and Families Generic for Information Collections Related to Gatherings”
(OMB Control Number: 0970-0617)

TITLE OF INFORMATION COLLECTION: Office of Head Start Tribal Consultations

PURPOSE:  The purpose of this information is to gather appropriate information to plan Office of Head Start (OHS) Tribal Consultations. For example, registration information collected from participants allows meeting/event organizers to plan and compile proper resources and tools for participants. Basic registration data allows participants to be contacted about the event and allows the organizers to appropriately plan for the needs of their audience (e.g., by understanding the audience’s familiarity with virtual meetings).

DESCRIPTION OF RESPONDENTS: Attendees will include Tribal leaders, Federal staff, and invited speakers and facilitators.

CERTIFICATION:
I certify the following to be true: 
    1. The collection is voluntary. 
    2. The collection is low-burden for respondents and low-cost for the Federal Government.
    3. The collection is non-controversial and does not raise issues of concern to other federal agencies.
    4. The information collected is not intended to be disseminated to the public1.		
    5. Information gathered will not be used for the purpose of substantially informing influential policy decisions. 

Name and affiliation: Todd Lertjuntharangool, Regional Program Director, Office of Head Start

To assist review, please provide the following information:

BURDEN HOURS 

This burden applies to the registration form for OHS Tribal Consultations and assumes two tribal consultations per year. Respondents include speakers/facilitators from the private sector, as well as individuals from state, local, or tribal governments. We estimate that completing a registration form generally takes participants 1 minute or less. 

Instrument Title
Category of Respondent
Annual No. of Respondents
Participation Time
Annual Burden
OHS Tribal Consultations Registration Form
Private Sector (Speakers/
Facilitators)
20
1 minute
20 minutes
OHS Tribal Consultations Registration Form
State, Local, or Tribal Government
80
1 minute
80 minutes
Totals
100
1 minute
100 minutes

FEDERAL COST: The estimated annual cost to the Federal government is $2,267.90__


Administration of the Instrument
    1. How will you collect the information? (Check all that apply)
[X] Web-based or other forms of Social Media 
[  ] Telephone	
[  ] In-person	
[  ] Mail 
[  ] Other, Explain


Please make sure that all instruments, instructions, and scripts are submitted with the request.