Migrant and Seasonal Head Start Study

Forms and Documents

Document Name	Status
Appendix 32. Data Collector Code of Conduct and Assurance of Confidentiality Agreement.docx Supplementary Document	2016-08-15
Appendix 31. Components of the Classroom Observations_revised CLEANv3.docx Supplementary Document	2017-02-17
Appendix 28. Reminder flyer for parents and teachers.docx Supplementary Document	2016-08-15
Appendix 26. FAQs for Parents.docx Supplementary Document	2016-08-15
Appendix 25. Recruitment Letter from Study team for Parents.docx Supplementary Document	2016-08-15
Appendix 23. FAQs for Teachers and Assistant Teachers.docx Supplementary Document	2016-08-15
Appendix 22. Recruitment Flyer for Parents and Teachers.docx Supplementary Document	2016-08-15
Appendix 21. Recruitment Letter from ACF for Teacher Packet.docx Supplementary Document	2016-08-15
Appendix 20. Recruitment Letter from Study team for Teacher Packet.docx Supplementary Document	2016-08-15
Appendix 14. Recruitment Letter from Study team for OSCs.docx Supplementary Document	2016-08-15
Appendix 12. Recruitment Email from Study Team for CD onsite data collection.docx Supplementary Document	2016-08-15
Appendix 9. Recruitment Flyer for PDs and CDs.docx Supplementary Document	2016-08-15
Appendix 8. FAQs for Program and Center Directors.docx Supplementary Document	2016-08-15
Appendix 7. Recruitment Email from Study Team for PD onsite data collection.docx Supplementary Document	2016-08-15
Appendix 6. Recruitment Email from ACF for PD onsite data collection.docx Supplementary Document	2016-08-15
Appendix 5. Follow-up reminders for PD and CD non-responders.docx Supplementary Document	2016-08-15
Appendix 2. Recruitment Letters to accompany PD and CD mail surveys.docx Supplementary Document	2016-08-15
Appendix 1. Conceptual Framework for MSHS Study.docx Supplementary Document	2016-08-15
MSHS OMB Part B_Draft 12-21-16_passback_Abt revisions-clean.docx Supporting Statement B	2017-02-17
MSHS OMB Part A_Draft 1-5-17_passback_Abt revisions_clean v2.docx Supporting Statement A	2017-02-17

IC Document Collections

IC ID	Document Title	Status
223024	Parent interview (including Parent child report) Other-Child ratings	New
223023	Child assessments (preschoolers and older toddlers only) Other-Child Assessment Components	New
222999	Parent consent form Other-Consent	New
222997	Assistant Teacher survey Other-Survey	New
222996	Teacher child report Other-Child Reports	New
222995	Teacher survey Other-Survey	New
222994	Child roster form Other-Child Roster	New
222992	Classroom sampling form Other-Sampling form	New
222990	Call script for On Site Coordinators Other-call	New
222989	Call script for Center Directors Other-call	New
222988	Form for Program Directors to verify key information for selected centers Other-Verification doc	New
222987	Call script for Program Directors Other-call	New
222986	Center Director survey Other-Survey	New
222985	Program Director survey Other-Survey	New

ICR Details

OMB Control No: 0970-0493	ICR Reference No: 201608-0970-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Migrant and Seasonal Head Start Study
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/17/2017
	Date Received in OIRA: 08/17/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	17 Months From Approved
Responses	5,146	0	0
Time Burden (Hours)	2,631	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Office of Planning, Research and Evaluation (OPRE), Administration for Children and Families (ACF), U.S. Department of Health and Human Services, is proposing to collect data for the Migrant and Seasonal Head Start (MSHS) Study. The MSHS Study is a nationally representative study that focuses on describing the characteristics and experiences of the children and families who enroll in MSHS and the practices and services of the MSHS programs that serve them. This information collection request is for the recruitment and data collection activities for the MSHS study. The MSHS Study recruitment and data collection activities will yield rich information to answer the MSHS Study research questions, which were developed based on the MSHS Conceptual Framework (see Appendix 1). The overall goal of the MSHS study will be to: 1) describe the characteristics of MSHS programs, centers, families and children; 2) describe MSHS services, instructional practices and quality; and 3) understand the associations between MSHS characteristics and child/family well-being.

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Authorizing Statute(s): PL: Pub.L. 110 - 134 649 Name of Law: The Improving Head Start for School Readiness Act of 2007
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 35774	06/03/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 54807	08/17/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

IC Title	Form No.	Form Name
Call script for Program Directors
Classroom sampling form
Child assessments (preschoolers and older toddlers only)
Child roster form
Teacher survey
Teacher child report
Assistant Teacher survey
Parent consent form
Parent interview (including Parent child report)
Call script for On Site Coordinators
Program Director survey
Center Director survey
Form for Program Directors to verify key information for selected centers
Call script for Center Directors

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,146	0	0	5,146	0	0
Annual Time Burden (Hours)	2,631	0	0	2,631	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $1,943,362

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/17/2016

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