View Information Collection (IC)

View Information Collection (IC)

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

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

Federal Enterprise Architecture Business Reference Module

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: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	150	0	150	0	0	0
Annual IC Time Burden (Hours)	30	0	30	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	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.