Full Interview for Non-Head Start Staff Protocol (Instrument 4) - Community partners

Study on the Conversion of Enrollment Slots from Head Start to Early Head Start (HS2EHS Study)

Documents and Forms

Document Name Document Type
Instrument 4_ Full Interview for Non-Head Start Staff Protocol.docx Other-Interview
Instrument 4_ Full Interview for Non-Head Start Staff Protocol.docx Other-Interview

Information Collection (IC) Details

IC Title:	Full Interview for Non-Head Start Staff Protocol (Instrument 4) - Community partners	Agency IC Tracking Number:

Is this a Common Form? No		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			Instrument 4_ Full Interview for Non-Head Start Staff Protocol.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: 6	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	6	6
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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