Matrix/Starfish (EHS/HS) – Phase 3 Data Collection

ACF Behavioral Interventions to Advance Self-Sufficiency Next Generation (BIAS-NG) Project

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0502 can be found here:

Documents and Forms

Document Name Document Type
HeadStart OMB_Instrument 1_Parent Data Collection__12.3.21.docx Other-Interview/Focus Group
HeadStart OMB_Instrument 1_Parent Data Collection__12.3.21.docx Other-Interview/Focus Group
HeadStart OMB_Instrument 2_Staff Data Collection__12.15.21_kc_clean.docx Other-Interview/Focus Group
HeadStart OMB_Instrument 2_Staff Data Collection__12.15.21_kc_clean.docx Other-Interview/Focus Group
Head Start_BIAS NG SSA_12.3.2021_finalrev_clean.docx SSA - BIAS-NG GenIC: Matrix/Starfish (EHS/HS) IC Document
Head Start_BIAS NG SSA_12.3.2021_finalrev_clean.docx SSA - BIAS-NG GenIC: Matrix/Starfish (EHS/HS) IC Document
Head Start_BIAS NG SSB_12.3.202_final_clean.docx SSB - BIAS-NG GenIC: Matrix/Starfish (EHS/HS) IC Document
Head Start_BIAS NG SSB_12.3.202_final_clean.docx SSB - BIAS-NG GenIC: Matrix/Starfish (EHS/HS) IC Document
NOA_BIAS NG_EHS-HS GenIC_0970-0502_12.20.21.pdf NOA - BIAS-NG GenIC: Matrix/Starfish (EHS/HS) IC Document
NOA_BIAS NG_EHS-HS GenIC_0970-0502_12.20.21.pdf NOA - BIAS-NG GenIC: Matrix/Starfish (EHS/HS) IC Document

Information Collection (IC) Details

IC Title:	Matrix/Starfish (EHS/HS) – Phase 3 Data Collection	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interview/Focus Group			HeadStart OMB_Instrument 1_Parent Data Collection__12.3.21.docx		Yes	Yes	Printable Only
Other-Interview/Focus Group			HeadStart OMB_Instrument 2_Staff Data Collection__12.15.21_kc_clean.docx		Yes	Yes	Printable Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 140	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	140	140
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA - BIAS-NG GenIC: Matrix/Starfish (EHS/HS)	Head Start_BIAS NG SSA_12.3.2021_finalrev_clean.docx	06/07/2022
SSB - BIAS-NG GenIC: Matrix/Starfish (EHS/HS)	Head Start_BIAS NG SSB_12.3.202_final_clean.docx	06/07/2022
NOA - BIAS-NG GenIC: Matrix/Starfish (EHS/HS)	NOA_BIAS NG_EHS-HS GenIC_0970-0502_12.20.21.pdf	06/07/2022

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