Head Start Oral Health Initiative Evaluation

Forms and Documents

Document Name	Status
Form 0 Head Start Oral Health Initiative Evaluation Form and Instruction	New
(OMB-final report-september7rev.pdf Supporting Statement B	2006-09-14
(OMB-final report-september7rev.pdf Supporting Statement A	2006-09-14

IC Document Collections

IC ID	Document Title	Status
45537	Head Start Oral Health Initiative Evaluation Form and Instruction	New

ICR Details

OMB Control No: 0970-0314	ICR Reference No: 200610-0970-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Head Start Oral Health Initiative Evaluation
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: 01/11/2007
	Date Received in OIRA: 10/04/2006
Terms of Clearance: This ICR is approved on the understanding that: 1) Because ACF does not have statutory authority to provide assurances of confidentiality, ACF will not use the term “confidential” in any materials provided to respondents; 2) All identifiable data will be stripped by the contractor before provided to ACF and ACF will not own or house any identifiable data; 3) The reporting of race and ethnicity will conform to OMB guidelines; 4) To maximize the amount of time available during interviews to spend on questions regarding implementation successes and difficulties, ACF will send the respondents an “advance letter” as well as the document “Questions on Grantee Characteristics” which will be filled out for the respondent with information collected from each grantee’s proposal; each grantee will therefore only have to update the information or else verify that nothing has changed since the time of application; 5) Because this is a process study about the implementation of this program, good practices that emerge from this data collection will be referred to as “promising” rather than “effective”; 6) The standard PRA blurb and the OMB control number and expiration date will appear on each paper or electronic document that is provided to grantees as part of this ICR and will be made available for grantees when information is collected orally (e.g. at site visits or interviews).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved
Responses	9,747	0	0
Time Burden (Hours)	5,361	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This study is an implementation evaluation of the Head Start Oral Health Initiative, a grant program that is funding 52 Head Start Programs to implement oral health interventions for Head Start families and children. The purposes of the evaluation are to document grantees, implementation experiences and challenges, to identify promising models and service delivery strategies, to assess the feasibility of replication or expansion of the models in other programs and communities, and to disseminate information about lessons learned to the broader Head Start community. Data collection activities will focus on learning about program operations and service delivery strategies, rather than on assessing the initiativies effects on oral health outcomes of Head Start children and families. The evaluation will collect and analyze information form three main sources: (1) telephone interviews with program directors from all 52 Oral Health Initiative grantees, (2) site visits to a subset of 16 grantees, and (3) a Web-based recordkeeping system designed for use by all grantees.

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Authorizing Statute(s): PL: Pub.L. 105 - 285 649 d and e Name of Law: Head Start Act
  

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:
	71 FR 38168	07/05/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 51830	08/31/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Head Start Oral Health Initiative Evaluation	0, 0, 0, 0, 0, 0, 0, 0, 0, 0	a ,   a ,   a ,   a ,   a ,   a ,   a ,   a ,   a ,   a

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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	9,747	0	0	9,747	0	0
Annual Time Burden (Hours)	5,361	0	0	5,361	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 data collection.

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Annual Cost to Federal Government: $247,282

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 09/19/2006

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