The Maternal, Infant, and Early Childhood Home Visiting Program Statewide Needs Assessment Update

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Appendix D - MIECHV Statewide Needs Assessment Update 60 day comments.pdf	Supplementary Document	Uploaded 2024-09-27	Repair queued
Appendix C - 05242024 MIECHV Program Statewide Needs Assessment Update OMB 0906-0038 - Revision 60-day 2024-11489 FRN 041820245001.pdf	Supplementary Document	Uploaded 2024-09-27	Repair queued
Supporting Statement Part A_MIECHV Needs Assessment Update Clean Final.docx	Supporting Statement A	Uploaded 2024-09-27	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
232798	Maternal, Infant, and Early Childhood Home Visiting Needs Assessment Data Summary	Instruction	Modified

ICR Details

OMB Control No: 0906-0038	ICR Reference No: 202409-0906-001
Status: Received in OIRA	Previous ICR Reference No: 201808-0906-001
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: The Maternal, Infant, and Early Childhood Home Visiting Program Statewide Needs Assessment Update
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/07/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	35	0
Time Burden (Hours)	1,050	0
Cost Burden (Dollars)	0	0

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Abstract: HRSA is requesting approval to collect amended statewide needs assessment updates from Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program awardees. Eligible entities that are states, jurisdictions, and non-profit organizations submitted statewide needs assessment updates in response to the 2020 Needs Assessment Update Supplemental Information Request (SIR) (and a corresponding SIR for jurisdiction awardees). Eligible entities that wish to amend their previously submitted needs assessment updates will have the opportunity to do so prior to submitting their fiscal year 2025 base and matching grant funding application and in response to new instructions provided by the agency for this purpose.

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Authorizing Statute(s): US Code: 42 USC 701, Section 511 Name of Law: SSA, as amended by 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 45903	05/24/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 79297	09/27/2024
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 Needs Assessment Data Summary	1	MIECHV Needs Assessment Data Summary_Table 7

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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	35	0	0	35	0	0
Annual Time Burden (Hours)	1,050	0	0	1,050	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: This is a reinstatement of a previous collection. There is a burden reduction compared to the 2020 collection, the decline in burden is because the respondent electing to update their needs assessment only needs to update Table 7. With the prior collection, respondents had to also fill out Tables 1-6.

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Annual Cost to Federal Government: $93,552

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: 10/07/2024

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