The Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report

ICR 201812-0906-002

OMB: 0906-0016

Federal Form Document

ICR Details
0906-0016 201812-0906-002
Active 201509-0906-002
The Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report
Revision of a currently approved collection   No
Approved without change 02/14/2019
Retrieve Notice of Action (NOA) 12/21/2018
Approved consistent with the understanding that there will be a transition period to the new 30-day reporting period, which may include deadline extensions that could result in a 45 day submission window
  Inventory as of this Action Requested Previously Approved
02/28/2022 36 Months From Approved 03/31/2019
264 0 536
13,376 0 13,440
0 0 0

HRSA is seeking to revise and extend collection of select service utilization and performance benchmark information on a quarterly basis in order to continuously monitor and provide oversight and quality improvement guidance and technical assistance to MIECHV awardees. The respondents will be state and territorial governments.

US Code: 42 USC 701 Name of Law: Patient Protection Affordable Care Act 2010

Not associated with rulemaking

  83 FR 7481 02/21/2018
83 FR 64847 12/18/2018

  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 264 536 0 -272 0 0
Annual Time Burden (Hours) 13,376 13,440 0 -64 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Changing Forms
In general, revisions being requested to this form are for the purposes of streamlining reporting requirements and reducing administrative burden related to data collection and reporting. These revisions will better align the intended and actual uses of these data for program monitoring and oversight purposes.

Elyana Bowman 301 443-3983 [email protected]


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:
    (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;
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.

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