Office of Head Start Survey on Background Checks and Staffing

Generic for ACF Program Monitoring Activities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0558 can be found here:

Documents and Forms

Document Name Document Type
Background Checks Workforce Survey Form Final for OMB 8-18-22.docx Other-Survey
Background Checks Workforce Survey Form Final for OMB 8-18-22.docx Other-Survey
Submission Template for Monitoring Generic _0970-0558 OHS Background Checks 2022_revised.docx Monitoring GenIC - OHS Background Checks Survey IC Document
Submission Template for Monitoring Generic _0970-0558 OHS Background Checks 2022_revised.docx Monitoring GenIC - OHS Background Checks Survey IC Document

Information Collection (IC) Details

IC Title:	Office of Head Start Survey on Background Checks and Staffing	Agency IC Tracking Number:	OHS

IC Status: Unchanged

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-Survey			Background Checks Workforce Survey Form Final for OMB 8-18-22.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Monitoring GenIC - OHS Background Checks Survey	Submission Template for Monitoring Generic _0970-0558 OHS Background Checks 2022_revised.docx	08/19/2022

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