This review of the activites of eight Head Start grantees during the 1973-74 program year incorporates for each topic the study findings, recommendations to the Department of Health, Education and Welfare (HEW), and comments from HEW in response to recommendations. Topics include excerpts of Head Start (e.g., available services, children's educational gains, parent participation), services provided to the handicapped, and problems in administration. Grantees were found to be marginally successful in facilitating parent participation, and it is recommended that alternative means of involving parents be developed. Examination of services provided to handicapped children by the Office of Child Development and Head Start grantees indicated that Head Start programs lack the professional staff, training, facilities, and equipment needed to serve the severely handicapped. It is recommended that this situation be remedied and that professional confirmation of classification of handicapped children be obtained to avoid misclassification. Administrative problems discussed include low enrollment, low average daily attendance and service to ineligible families. These problems are said to continue because of inadequate monitoring of grantees by the regional offices. Appendices to the report give information from selected studies relating to the impact of Head Start and comments from HEW pertaining to the draft report by the General Accounting Office entitled "Assessment of Project Head Start." (GO)