Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Advancing Health Equity in Response to the COVID-19 Public Health Emergency

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 4 Program Data	Form and Instruction	New	Repair queued
Form 3 Community and Home Visitor Survey Instrument	Form and Instruction	New	Repair queued
Form 2 Community Service Provider Focus Group Protocol	Form and Instruction	New	Repair queued
Form 1 Family Focus Group Guide	Form and Instruction	New	Repair queued
Form 1 Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Advancing Health Equity in Response to the COVID-19 Public Health Emergency	Form and Instruction	New	Repair queued
MIECHV COVID_Supporting Statement_061522.docx	Supporting Statement A	Uploaded 2022-07-15	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
256643	Program Data Collection Activity	Form and Instruction	New	Program Data
256641	Community and Home Visitor Survey Instrument	Form and Instruction	New	Community and Home Visitor Survey Instrument
256640	Community Interview Protocol	Form and Instruction	New	Community Service Provider Focus Group Protocol
256639	Family and Community Focus Group Guide	Form and Instruction	New	Family Focus Group Guide
254676	Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Advancing Health Equity in Response to the COVID-19 Public Health Emergency	Form and Instruction	New

ICR Details

OMB Control No: 0906-0071	ICR Reference No: 202207-0906-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Advancing Health Equity in Response to the COVID-19 Public Health Emergency
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: 10/28/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/18/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2025	36 Months From Approved
Responses	538	0	0
Time Burden (Hours)	688	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: HRSA is seeking approval of data collection activities (informant interviews, focus groups, and online surveys) under HRSA’s generic clearance. The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program: Advancing Health Equity in Response to the COVID-19 Public Health Emergency project aims to understand how health equity has been advanced during the COVID-19 public health emergency in communities with MIECHV-funded home visiting programs. HRSA has contracted Child Trends to seek additional information about the strategies and partners home visiting programs have used to advance health equity in communities disproportionately impacted by the COVID-19 public health emergency. HRSA intends to use this information to provide technical assistance and disseminate best practices to MIECHV awardees, publish findings for lay and research audiences to advance the field’s knowledge of home visiting’s role in COVID-19 response, and to prepare state and local home visiting programs for future public health emergencies.

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Authorizing Statute(s): US Code: 42 USC 711 Name of Law: American Rescue Plan 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:
	87 FR 15254	03/17/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 42183	07/14/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Community Interview Protocol	2	Community Service Provider Focus Group Protocol
Community and Home Visitor Survey Instrument	3	Community and Home Visitor Survey Instrument
Family and Community Focus Group Guide	1	Family Focus Group Guide
Program Data Collection Activity	4	Program Data

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ICR Summary of Burden

table that charts list 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	538	0	0	538	0	0
Annual Time Burden (Hours)	688	0	0	688	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: The burden has increased due to the creation of a new collection.

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Annual Cost to Federal Government: $15,785

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? Yes

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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: 07/18/2022

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