Maternal, Infant and Early Childhood Home Visiting Program- Updated State Plan

Forms and Documents

Document Name	Status
Form 1 Supplemental Information Request for the Submission of the Updated State Plan for A State Home Visiting Program Form and Instruction	Modified
Supporting Statement-Updated State Plan_7.29.11_FINAL.docx Supporting Statement A	2011-07-26

IC Document Collections

IC ID	Document Title	Status
196112	Supplemental Information Request for the Submission of the Updated State Plan for A State Home Visiting Program Form and Instruction	Modified

ICR Details

OMB Control No: 0915-0336	ICR Reference No: 201107-0915-002
Status: Historical Active	Previous ICR Reference No: 201102-0915-001
Agency/Subagency: HHS/HSA	Agency Tracking No:
Title: Maternal, Infant and Early Childhood Home Visiting Program- Updated State Plan
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/23/2011
	Date Received in OIRA: 07/27/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2014	36 Months From Approved	10/31/2011
Responses	56	0	56
Time Burden (Hours)	15,176	0	15,176
Cost Burden (Dollars)	0	0	0

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Abstract: The Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) is designed to: 1)strengthen programs and activities carried out under Title V; 2) improve coordination of services for at risk communities; and 3) identify and provide comprehensive services to improve outcomes for families who reside in at risk communities. The information requested in the Updated State Plan will advance the purpose of this Program. The information collection will help further the legislative purpose of the MIECHV Program. It is also intended to help States view their proposed State Home Visiting Program as a service strategy aimed at developing a comprehensive, high-quality early childhood system that promotes maternal, infant, and early childhood health, safety and development, and strong parent-child relationships in the targeted communities at risk. As a condition of receiving the remaining grant award made to States in July 2010, each of the 56 grantees is now required to develop an Updated State Plan for a State Home Visiting Program.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 2951 Name of Law: Patient Protection and Affordable Care Act of 2010
  

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:
	76 FR 12976	03/11/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 44019	07/22/2011
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
Supplemental Information Request for the Submission of the Updated State Plan for A State Home Visiting Program	1	SIR

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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	56	56	0	0	0	0
Annual Time Burden (Hours)	15,176	15,176	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $3,561

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]? Yes

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: 07/27/2011

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