Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2 PERFORMANCE AND SYSTEMS OUTCOME MEASURES	Form and Instruction	Modified	Available
Form 1 DEMOGRAPHIC, SERVICE UTILIZATION, AND SELECT CLINICAL INDICATORS	Form and Instruction	Modified	Available
Form 1 Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System	Form and Instruction	Modified	Repair queued
0906-0017 MIECHV_Supporting Statement A 07302024.docx	Supporting Statement A	Uploaded 2024-07-30	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
219429	Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System	Form and Instruction	Modified	PERFORMANCE AND SYSTEMS OUTCOME MEASURES
219429	Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System	Form and Instruction	Modified	DEMOGRAPHIC, SERVICE UTILIZATION, AND SELECT CLINICAL INDICATORS
219429	Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System	Form and Instruction	Modified

ICR Details

OMB Control No: 0906-0017	ICR Reference No: 202407-0906-005
Status: Historical Active	Previous ICR Reference No: 202305-0906-002
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/11/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/31/2024
Terms of Clearance: Approved consistent with the understanding that in the next revision/extension of the package (by fall 2027), the agency will update the race/ethnicity question in this information collection to be in compliance with the updated SPD 15 (effective as of March 28, 2024).

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2027	36 Months From Approved	09/30/2024
Responses	56	0	56
Time Burden (Hours)	43,736	0	44,800
Cost Burden (Dollars)	0	0	0

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Abstract: This request is for continued approval of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program Performance Measurement Information System. HRSA uses performance information to demonstrate program accountability and continuously monitor and provide oversight to MIECHV Program awardees. The information is also used to provide quality improvement guidance and technical assistance to awardees and help inform the development of early childhood systems at the national, state, and local level. HRSA is seeking to continue to collect information on demographic, service utilization, and select clinical indicators for participants enrolled in home visiting services and a set of standardized performance and outcome indicators that correspond with the statutorily identified benchmark areas. This information will be used to demonstrate awardees’ compliance with legislative and programmatic requirements. It will also be used to monitor and provide continued oversight for awardee performance and to target technical assistance resources to awardees.

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Authorizing Statute(s): PL: Pub.L. 117 - 328 6101 Name of Law: Consolidated Appropriations Act, 2023
   US Code: 42 USC 701, section 511 Name of Law: Social Security Act, Sct 511
  

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:
	89 FR 23028	04/03/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 61125	07/30/2024
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System	1, 2	DEMOGRAPHIC, SERVICE UTILIZATION, AND SELECT CLINICAL INDICATORS ,   PERFORMANCE AND SYSTEMS OUTCOME MEASURES

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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	56	56	0	0	0	0
Annual Time Burden (Hours)	43,736	44,800	0	-1,064	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There is a small decline in burden from 44,800 in the current burden inventory to 43,736. This is a decrease of 1,064 hours. This is because the average burden per response for Form 2: Performance Indicators and Systems Outcome Measures declined from 360 hours in the 2021 ICR package to 221 hours in this ICR package.

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Annual Cost to Federal Government: $609,586

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? 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: 07/31/2024

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