Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System

The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program is administered by the Maternal and Child Health Bureau (MCHB) within HRSA in partnership with the Administration for Children and Families. MIECHV provides support to all 56 states and jurisdictions, as well as tribes and tribal organizations. State and jurisdiction MIECHV funding recipients report annual demographic and performance data to HRSA through: Form 1 – Demographic Performance Measures; Form 2 – Benchmark Performance Measures. MIECHV funding recipients also report program information on a quarterly basis through Form 4 – Quarterly Data Collection, currently approved under OMB No. 0906-0016. This ICR will now include Forms 1, 2, and 4, so all the components of data collection for the MIECHV Program in one request. OMB No. 0906-0016 will be discontinued after OMB approval of this ICR. The forms will not be renumbered because MIECHV used to have Form 3 and that is no longer part of the data collection. MCHB decided not to renumber the forms because this has been well recognized by all awardees that it’s the quarterly form and renaming to Form 3 might be more confusing at this time.

The latest form for Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System expires 2029-05-31 and can be found here.

Annual Reporting: Demographic Service Utilization, Clinical Indicators, and Program Locations; Performance Indicators and Systems Outcome Measures

Federal Enterprise Architecture: Health - Health Care Services

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