OMB control number
The Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report
OMB 0906-0016 · HHS/HRSA.
OMB 0906-0016
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.
The latest form for The Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report expires 2027-09-30 and is listed under ICR 202408-0906-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report | Form and Instruction |
 Appendix A. 60 Day FRN.pdf | Supplementary Document |
| Supporting Statement A MIECHV Quarterly Report FINAL.docx | Supporting Statement A |
 Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202408-0906-003 | Revision of a currently approved collection | 2024-08-22 | ||
| 202110-0906-001 | Revision of a currently approved collection | 2021-10-12 | Approved with change | |
| 201812-0906-002 | Revision of a currently approved collection | 2018-12-21 | Approved without change | |
| 201509-0906-002 | New collection (Request for a new OMB Control Number) | 2015-09-21 | Approved with change |