Tribal Maternal, Infant, and Early Childhood Home Visiting Program Guidance for Submitting Reports to the Secretary

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
THV FRS Supporting Statement 12.1.22.docx	Supporting Statement A	Uploaded 2022-12-27	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257634	Final Report to the Secretary Guidance	Instruction	New
231062	Annual Report to the Secretary Guidance	Instruction	Modified

ICR Details

OMB Control No: 0970-0409	ICR Reference No: 202212-0970-016
Status: Historical Active	Previous ICR Reference No: 202108-0970-012
Agency/Subagency: HHS/ACF	Agency Tracking No: OCC
Title: Tribal Maternal, Infant, and Early Childhood Home Visiting Program Guidance for Submitting Reports to the Secretary
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/03/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/03/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	36 Months From Approved	09/30/2024
Responses	40	0	23
Time Burden (Hours)	998	0	575
Cost Burden (Dollars)	0	0	0

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Abstract: Title V Section 511(e)(8)(A) of the Social Security Act, requires grantees under the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program for states and jurisdictions submit an annual report to the Secretary of Health and Human Services (HHS) regarding the program and activities carried out under the program, including such data and information as the Secretary shall require. Section 511 further states that the requirements for the MIECHV grants to tribes, tribal organizations, and urban Indian organizations are to be consistent, to the greatest extent practicable, with the requirements for grantees under the MIECHV program for states and jurisdictions. The purpose of the annual and final report guidance documents is to provide instructions for grantees to submit an annual and a final report on the progress of their program to the Secretary. These reports have provided valuable information to HHS and have been used for a number of different purposes including guiding the provision of training and technical assistance to Tribal Home Visiting program grantees, a report to Congress on the status of the program, dissemination activities that highlight the successes and lessons learned of the program, as well as information that assists ACF in developing future policy, program, and collaboration efforts with tribal communities. This request updates this information collection to include guidance to grantees related to the required final report to the Secretary. While the Annual Report to the Secretary allows grantees the opportunity to provide updates on the progress of their program throughout the life of their grant, the Final Report to the Secretary allows grantees to reflect on and summarize their overall experience as a grantee implementing home visiting programs over the lifetime of their grants. This includes their experiences meeting goals and objectives, implementing home visiting services, reporting on performance measures, with the supports provided by ACF and engaging in rigorous evaluation. Previously, the guidance included information about both the annual and the final reports from grantees. In 2021, the ACF Office of Early Childhood Development (ECD) separated out the annual report guidance and received OMB approval for that in September 2021. ECD is now requesting review of guidance specific to the final report.

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Authorizing Statute(s): PL: Pub.L. 74 - 271 511(e)(8)(A) Name of Law: Social Security 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 64801	10/26/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 80540	12/30/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Annual Report to the Secretary Guidance
Final Report to the Secretary Guidance

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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	40	23	0	10	7	0
Annual Time Burden (Hours)	998	575	0	248	175	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: There are no changes to the content of the currently approved guidance for the Annual Report to the Secretary and therefore no changes to the estimated time per response. This request is to add the Tribal MIECHV Guidance for Submitting the Final Report to the Secretary back under this OMB number, with minor changes since the previously approved version. These changes include more open ended questions on dissemination activities and technical assistance supports. Additionally, the estimated number of respondents has been updated to reflect the current number of grantees, increasing the number of respondents from 23 to 30 grantees.

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Annual Cost to Federal Government: $45,000

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]? 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? No

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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: 01/03/2023

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