View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0970-0583	ICR Reference No: 202112-0970-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Recordkeeping for New Vaccine and Mask Requirements to Mitigate the Spread of COVID-19 in Head Start
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 12/15/2021
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/14/2021
	Date Received in OIRA: 12/13/2021
Terms of Clearance: This will be transitioned to a standard ICR as soon as possible and before the expiration of this emergency ICR. At that point in time, ACF may make incorporate feedback on this ICR in response to the 60/30 day public comment windows.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2022	6 Months From Approved
Responses	1,053,535	0	0
Time Burden (Hours)	89,014	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	1,053,535	1,053,535
Annual Time Burden (Hours)	89,014	89,014
Annual Cost Burden (Dollars)	0	0

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This is a new recordkeeping requirement.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? Yes

Agency Contact: Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.