Office of Head Start (OHS) Disaster Information Collection Form

Generic Disaster Information Collection Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0476 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Office of Head Start (OHS) Disaster Information Collection Form Form and Instruction
1 Office of Head Start (OHS) Disaster Information Collecti OHS Disaster Info Collection Instrument.xlsx Form and Instruction
OHS Disaster Info Collection Submission Form.doc Office of Head Start (OHS) Disaster Information Collection Submission Form IC Document

Information Collection (IC) Details

IC Title:	Office of Head Start (OHS) Disaster Information Collection Form	Agency IC Tracking Number:

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
Form and Instruction	1	Office of Head Start (OHS) Disaster Information Collection Form	OHS Disaster Info Collection Instrument.xlsx		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: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Office of Head Start (OHS) Disaster Information Collection Submission Form	OHS Disaster Info Collection Submission Form.doc	04/02/2019

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