Staff, Contractor, and Volunteer Reporting of Existing Vaccination (one-time)

Recordkeeping for New Vaccine and Mask Requirements to Mitigate the Spread of COVID-19 in Head Start

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0583 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Staff, Contractor, and Volunteer Reporting of Existing Vaccination (one-time)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 1302

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 320,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	320,000	-604,000	924,000
Annual IC Time Burden (Hours)	26,656	989	25,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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