OMB control number
Maternal, Infant, and Early Childhood Home Visiting Program: Cost Reporting Tool for Pilot Test in Select Local Implementing Agencies
OMB 0906-0025 · HHS/HRSA.
The Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) is authorized by the Social Security Act, Title V, § 511(c), as amended by Section 6101 of the Consolidated Appropriations Act, 2023 (P.L. 117-328). The MIECHV Program brings decades of research to fruition in supporting voluntary, evidence-based home visiting programs for expectant families and families with children up to kindergarten entry. States, certain non-profit organizations, and Tribal entities are eligible to receive funding from the MIECHV Program and have the flexibility to tailor the program to serve the specific needs of their communities. Awardees provide sub-awards to Local Implementing Agencies (LIAs) to provide evidence-based home visiting services to eligible families in at-risk communities. These programs are a critical component of a coordinated and cohesive system of support for families and young children. The MIECHV Program works to improve maternal and child health, prevent child abuse and neglect, encourage positive parenting, and promote child development and school readiness by implementing evidence-based home visiting models. Although there is strong evidence on the effectiveness of these models, limited consistent information about the costs to implement home visiting models and deliver services to families is available to guide policy decisions. The HV-BAT was developed to address this need by collecting standardized information about the real costs of delivering home visiting in a given reporting year.
The latest form for Maternal, Infant, and Early Childhood Home Visiting Program: Cost Reporting Tool for Pilot Test in Select Local Implementing Agencies expires 2026-06-30 and can be found here.
Document Name |
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Form and Instruction |
Form and Instruction |
Supporting Statement A |
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Approved without change |
Revision of a currently approved collection | 2023-03-02 | |
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Approved with change |
Revision of a currently approved collection | 2020-01-22 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 2016-09-20 |
Home Visiting Budget Assistance Tool
Federal Enterprise Architecture: Health - Health Care Services
| Form 1 | HVBAT_FINAL_Revised 03.05.2020.xlsx | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.