School Readiness Goals and Head Start Program Functioning

Forms and Documents

Document Name	Status
School Readiness Goals_PartB_revised 7_24.docx Supporting Statement B	2013-08-29
Appendix G - Urban Institute Staff Confidentiality Pledge.docx Supplementary Document	2013-04-15
Appendix F - IRB Approval of UI Project 08800-040-11.pdf Supplementary Document	2013-04-15
Appendix D - Program Observation Sheet_revised.docx Supplementary Document	2013-08-29
Appendix B-9 - Parent Interview Consent Form.docx Supplementary Document	2013-04-15
Appendix B-8 - Site Visit Consent Form.docx Supplementary Document	2013-04-15
Appendix B-1 - Site Visit Recruitment Letter.docx Supplementary Document	2013-04-15
Appendix A-4 - Telephone Survey Receipt of Payment Form.docx Supplementary Document	2013-04-15
Appendix A-1 - Program Recruitment Letter with Project Overview and FAQs....docx Supplementary Document	2013-08-29
School Readiness Goals_Part A_revised 8_15.docx Supporting Statement A	2013-08-29

IC Document Collections

IC ID	Document Title	Status
206636	Interview Guide for AIAN Program Directors Other-Guide	New
206635	Interview Guide for Parents Other-Guide	New
206634	Interview Guide with Local Education Agency Representative Other-Guide	New
206633	Interview Guide for Governing Body or Policy Council Representatives Other-Guide	New
206632	Interview Guide with Staff Other-Guide	New
206631	Interview Guide for Other Managers, Coordinators and Specialists Other-Guide	New
206630	Interview Guide for Program Directors and Managers Other-Guide	New
206629	Telephone Interview Other-Interview	New
206628	Telephone Interview Recruitment Script Other-Script	New

ICR Details

OMB Control No: 0970-0438	ICR Reference No: 201304-0970-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No: 19279
Title: School Readiness Goals and Head Start Program Functioning
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/29/2013
	Date Received in OIRA: 04/23/2013
Terms of Clearance: This information collection request is approved as revised. HHS/ACF acknowledges its methodology is likely to result in interviews with more involved parents and is to be used as exploratory research as a pre-requisite to collecting useful information from those that have little involvement.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	12 Months From Approved
Responses	485	0	0
Time Burden (Hours)	324	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services (HHS) seeks approval to conduct a research study with Head Start grantees in order to improve understanding of how local programs define, measure, and communicate school readiness goals, and how they use these goals in program planning to improve program functioning. The study design will include a telephone survey of key personnel at approximately 90 local Head Start and Early Head Start programs, followed by site visits to a subset of 12 of these grantees.

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Authorizing Statute(s): PL: Pub.L. 110 - 134 649 Name of Law: Improving Head Start for School Readiness Act
  

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:
	78 FR 3431	01/16/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 23263	04/18/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
Interview Guide with Staff
Interview Guide for Governing Body or Policy Council Representatives
Interview Guide with Local Education Agency Representative
Interview Guide for Parents
Interview Guide for AIAN Program Directors
Telephone Interview Recruitment Script
Telephone Interview
Interview Guide for Program Directors and Managers
Interview Guide for Other Managers, Coordinators and Specialists

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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	485	0	0	485	0	0
Annual Time Burden (Hours)	324	0	0	324	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $254,933

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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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: 04/23/2013

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