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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report	Form and Instruction	Modified	Missing upstream
Appendix A. 60 Day FRN.pdf	Supplementary Document	Uploaded 2024-08-22	Repair queued
Supporting Statement A MIECHV Quarterly Report FINAL.docx	Supporting Statement A	Uploaded 2024-08-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
218304	Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report	Form and Instruction	Modified

ICR Details

OMB Control No: 0906-0016	ICR Reference No: 202408-0906-003
Status: Received in OIRA	Previous ICR Reference No: 202110-0906-001
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: The Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/22/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2024
Responses	224	488
Time Burden (Hours)	4,704	18,752
Cost Burden (Dollars)	0	0

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Abstract: This request is for continued approval of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program Quarterly Performance Report. The MIECHV Program is administered by the Maternal and Child Health Bureau (MCHB) within HRSA in partnership with the Administration for Children and Families, and provides support to all 56 states and jurisdictions, as well as tribes and tribal organizations. Through a needs assessment, states, jurisdictions, tribes, and tribal organizations identify target populations and select the home visiting service delivery model(s) that best meet their needs.

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Authorizing Statute(s): US Code: 42 USC 701, Section 511 Name of Law: Bipartisan Budget Act of 2018
  

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 35841	05/02/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 67948	08/22/2024
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 Quarterly Performance Report	1	Appendix B. MIECHV Quarterly Report Form 4

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	224	488	0	-264	0	0
Annual Time Burden (Hours)	4,704	18,752	0	-14,048	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: Changing Forms

Short Statement: The following changes have been made to the form: 1) Remove collection of zip codes under Table A.2 Place Based Services. This change is in response to significant burden awardees have reported on collecting and reporting this data over the last three years and HRSA can monitor and communicate reach of the program using the county data that will continue to get collected on Table A.2; 2) Update definitions of key terms to remove definition of zip codes; 3) Remove Section B of the form. Section B of the form has not been used and HRSA does not anticipate the need for this form in the future. Average burden hours were reduced by 3 hours per response per respondents to reflect the requested revisions.

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Annual Cost to Federal Government: $235,202

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? 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: 08/22/2024

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