Information Collection Request
Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System
ICR 202305-0906-002 · OMB 0906-0017 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0906-0017 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 1 Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System |
Form and Instruction | Unchanged | Available |
| Form 1 Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System |
Form and Instruction | Unchanged | Repair queued |
 HRSA MIECHV Form 1_OMB NonSubstantive Change Request.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-05-17 | Repair queued |
| HRSA MIECHV Form 1_OMB NonSubstantive Change Request.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-05-17 | Repair queued |
| Attachment 1 - 0906-0017- Form 1 - Proposed Change.docx |
Supplementary Document | Uploaded 2023-05-17 | Available |
| Attachment 1 - 0906-0017- Form 1 - Proposed Change.docx |
Supplementary Document | Uploaded 2023-05-17 | Repair queued |
 Attachment E - 60 Day FRN.pdf |
Supplementary Document | Uploaded 2021-04-16 | Available |
| Attachment E - 60 Day FRN.pdf |
Supplementary Document | Uploaded 2021-04-16 | Repair queued |
| MIECHV_ Supporting Statement A_030820.docx |
Supporting Statement A | Uploaded 2021-04-16 | Available |
| MIECHV_ Supporting Statement A_030820.docx |
Supporting Statement A | Uploaded 2021-04-16 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 219429 |  Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System |
Form and Instruction | Unchanged | |
| 219429 | Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System |
Form and Instruction | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/HRSA |
| OMB Control No | 0906-0017 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202104-0906-005 |
| Date Submitted to OIRA | 2023-05-17 |
| Requested Expiration Date | 1969-12-31 |