The Maternal, Infant, and Early Childhood Home Visiting Program Needs Assessment Update Supplemental Information Request

Forms and Documents

Document Name	Status
Form 1 Maternal, Infant, and Early Childhood Home Visiting Needs Assessment Data Summary Form and Instruction	New
FINALSupporting Statement Part A_MIECHV Needs Assessment Update.docx Supporting Statement A	2018-08-23

IC Document Collections

IC ID	Document Title	Status
232798	Maternal, Infant, and Early Childhood Home Visiting Needs Assessment Data Summary Form and Instruction	New

ICR Details

OMB Control No: 0906-0038	ICR Reference No: 201808-0906-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: The Maternal, Infant, and Early Childhood Home Visiting Program Needs Assessment Update Supplemental Information Request
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 without change	Conclusion Date: 11/16/2018
	Date Received in OIRA: 08/28/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2021	36 Months From Approved
Responses	51	0	0
Time Burden (Hours)	6,120	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: HRSA is seeking to collected needs assessment updates from MIECHV Program awardees. Section 511 of the Social Security Act, as amended by the Bipartisan Budget Act of 2018, requires states to review and update their statewide needs assessment and identify communities with concentrations of risk no later than October 1, 2020 as a condition of receiving their Title V Block Grant allotment. A Needs Assessment update will consist of a Needs Assessment Update Narrative, a Needs Assessment Data Summary, and documentation specifying that the state has granted authority to any nonprofit receiving MIECHV funds to operate a MIECHV program in a state, as applicable. In addition to satisfying statutory requirements, the needs assessment update will allow HRSA to verify that MIECHV funds are used to provides home visiting services to families in at-risk counties.

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Authorizing Statute(s): US Code: 42 USC 701, Section 511 Name of Law: SSA, as amended by Bipartisan Budget Act of 2018
  

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:
	83 FR 17826	04/24/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 42308	08/21/2018
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Maternal, Infant, and Early Childhood Home Visiting Needs Assessment Data Summary	1, 2	Attachment 1 - MIECHV Needs Assessment Update SIR.pdf ,   Attachment 2 - MIECHV Needs Assessment Data Summary_FINAL.XLSX

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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	51	0	0	51	0	0
Annual Time Burden (Hours)	6,120	0	0	6,120	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 ICR, so burden increases from zero (0).

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Annual Cost to Federal Government: $10,384,525

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

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: 08/28/2018

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