Tribal Maternal, Infant, and Early Childhood Home Visiting Program Data Reports: Demographic and Service Utilization, Grantee Performance Measures and Quarterly Performance Reports

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form PMR Tribal MIECHV Performance Measures Report	Form and Instruction	Modified	Available
Form DSUR Tribal MIECHV Demographic & Service Utilization Data Report	Form and Instruction	Modified	Available
Form DSUR Tribal MIECHV Demographic & Service Utilization Data Report	Form and Instruction	Modified	Available
ASTHVI Tribal Committee FRN response_April 202_email 4.23.26.pdf	Public Comments	Uploaded 2026-04-23	Available
0970-0614_SupportingStatementA_DSUR_PMR_Revision_Apr2026_CLEAN.docx	Supporting Statement A	Uploaded 2026-05-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
260665	Tribal MIECHV Performance Measures Report	Form and Instruction	Modified	Tribal MIECHV Performance Measures Report
260664	Tribal MIECHV Demographic & Service Utilization Data Report (Families)	Form and Instruction	Modified	Tribal MIECHV Demographic & Service Utilization Data Report
260663	Tribal MIECHV Demographic & Service Utilization Data Report (Grant Recipients)	Form and Instruction	Modified	Tribal MIECHV Demographic & Service Utilization Data Report

ICR Details

OMB Control No: 0970-0614	ICR Reference No: 202605-0970-002
Status: Received in OIRA	Previous ICR Reference No: 202602-0970-017
Agency/Subagency: HHS/ACF	Agency Tracking No: ECD
Title: Tribal Maternal, Infant, and Early Childhood Home Visiting Program Data Reports: Demographic and Service Utilization, Grantee Performance Measures and Quarterly Performance Reports
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/07/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2026
Responses	2,223	1,798
Time Burden (Hours)	20,227	33,664
Cost Burden (Dollars)	0	0

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Abstract: Section 511 of Title V of the Social Security Act authorizes the Secretary of the U.S. Department of Health and Human Services (HHS) to administer the Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) Program and to award grants to Indian tribes (or a consortium of Indian tribes), tribal organizations, and urban Indian organizations to conduct early childhood home visiting programs. The statute requires the Secretary to establish benchmark areas, assess grant recipient performance relative to those benchmarks, and report on program outcomes. The Tribal MIECHV program supports evidence-based home visiting services to pregnant women and families with young children in American Indian and Alaska Native communities. The program is designed to improve maternal and child health, support child development, strengthen parenting, improve family socioeconomic status, reduce child maltreatment, and enhance school readiness. To meet statutory and administrative requirements, the Administration for Children and Families (ACF) Office of Early Childhood Development (ECD), which administers the Tribal MIECHV program, collects information from grant recipients through the Demographic and Service Utilization Report (DSUR) and the Performance Measurement Report (PMR). The DSUR collects data on participant demographics, service utilization, and staffing, while the PMR collects data used to assess grant recipient performance in the legislatively mandated benchmark areas outlined in Section 511(d)(1)(A) of the Social Security Act. These data support federal oversight, program monitoring, the provision of technical assistance, and the preparation of required reports to Congress under Section 511 of the Social Security Act. This request is for a revision and extension of the currently approved information collection. Proposed revisions to the DSUR are intended to reduce reporting burden, streamline data elements, and enhance clarity of reporting requirements, while maintaining ECD’s ability to meet statutory and administrative requirements. The PMR is being extended with no changes to content, as the measures collected are required by statute.

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Authorizing Statute(s): PL: Pub.L. 117 - 328 511 Name of Law: Title V of SSA (Maternal and Child Health Services Block Grant)
  

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:
	91 FR 9282	02/25/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 24875	05/07/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Tribal MIECHV Demographic & Service Utilization Data Report (Families)	DSUR	Tribal MIECHV Demographic & Service Utilization Data Report
Tribal MIECHV Demographic & Service Utilization Data Report (Grant Recipients)	DSUR	Tribal MIECHV Demographic & Service Utilization Data Report
Tribal MIECHV Performance Measures Report	PMR	Tribal MIECHV Performance Measures Report

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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	2,223	1,798	0	425	0	0
Annual Time Burden (Hours)	20,227	33,664	0	-13,437	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: This request is for a revision and extension of a currently approved information collection. Changes to the DSUR include a reduction in the number of required reporting tables and data elements, resulting in decreased reporting burden for respondents. The PMR is being extended with no changes to content; however, the estimated burden has been updated based on recent reporting experience and findings from a 2024 administrative burden assessment. In addition, the QPR was discontinued in February 2026, further reducing overall reporting burden. While the number of respondents has increased due to program expansion, the overall annual burden has decreased as a result of these changes.

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Annual Cost to Federal Government: $233,000

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]? 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: 05/07/2026

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