Fast Track PRA Submission Short Form

Status: Original and derived artifacts are available for this document.

Download: docx | pdf | html

Request for approval under the clearance of the “Generic Performance Progress Report” OMB control Number:  0970-0490
TITLE OF INFORMATION COLLECTION: Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Tribal Engagement and Capacity Monthly Snapshot (TECS)

PURPOSE:  The Office of Early Childhood Development (ECD) proposes to collect a limited set of family engagement and service capacity measures during existing monthly calls with Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) grant recipients. These measures will replace the Quarterly Performance Data Report (QPR) which was approved under OMB Control Number 0970-0614 but will be removed through an upcoming (early 2026) revision request. The purpose of this streamlined monthly collection is to provide ECD with timely information on enrollment activity, active service participation, program completion, and early exits so that ECD can identify emerging challenges, support timely technical assistance, and monitor overall service capacity. This monthly approach significantly reduces burden while maintaining essential oversight functions.

DESCRIPTION OF RESPONDENTS: (e.g., states or type of non-profit)
Federally recognized tribes (or consortia of Indian tribes), tribal organizations, and urban Indian organizations that receive Tribal MIECHV grants and implement evidence-based home visiting programs.

CERTIFICATION:

I certify the following to be true: 
    1. The collection is in compliance with U.S. Health and Human Services (HHS) regulations.
    2. The collection is non-controversial and does not raise issues of concern to other federal agencies.
    3. Information gathered is meant primarily for program improvement and accountability.									
	
Name and Title:  Moushumi Beltangady; Director, Tribal Early Childhood Division 

To assist Office of Management and Budget (OMB) review of your request, please provide answers to the following question:

PERSONALLY IDENTIFIABLE INFORMATION:

    1. Is personally identifiable information (PII) collected?  [  ] Yes  [X]  No 
    2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974?   [  ] Yes [ X] No   
    3. If Yes, has an up-to-date System of Records Notice (SORN) been published?  [  ] Yes  [  ] No N/A






BURDEN HOURS 

Information Collection Title
Category of Respondent
No. of Respondents
No. of Responses per Respondent (Annual)
Burden per Response
Annual Burden
Tibal MIECHV Tribal Engagement and Capacity Snapshot (TECS)
State, Local, or Tribal Government
68
12
15 minutes (0.25 hours)
204

FEDERAL COST:  The estimated annual cost to the federal government is $8,096.00. This includes the cost of data collection and entry conducted by six federal project officers (each spending 1% of their annual salary), as well as the cost of one program analyst (spending 2% of their annual salary) to review and analyze the data.

TYPE OF COLLECTION:

How will you collect the information? (Check all that apply)
[  ] Web-based  
[  ] Email	
[  ] Paper mail 
[X] Other—Verbal responses during monthly calls, recorded by Federal Project Officer (FPO)

Please make sure that all instruments, instructions, and scripts are submitted with the request.