View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0906-0016	ICR Reference No: 202408-0906-003
Status: Active	Previous ICR Reference No: 202110-0906-001
Agency/Subagency: HHS/HRSA	Agency Tracking No:
Title: The Maternal, Infant, and Early Childhood Home Visiting Program Quarterly Performance Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/24/2024
	Date Received in OIRA: 08/22/2024
Terms of Clearance: Approved consistent with the understanding that corrective action plans (CAPs) were removed from this information collection request (ICR) package in the version approved in 2024. As no Paperwork Reduction Act (PRA) clearance now exists for the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) grant program CAPs, HRSA shall revise this ICR or submit a new ICR when/if the agency determines that a CAP is needed. Collecting MIECHV CAP information without engaging in this process shall constitute a PRA violation. This term of clearance shall remain associated with this OMB Control Number until the agency revises this ICR or submits a new ICR.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2027	36 Months From Approved	12/31/2024
Responses	224	0	488
Time Burden (Hours)	4,704	0	18,752
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	224	488	-264
Annual Time Burden (Hours)	4,704	18,752	-14,048
Annual Cost Burden (Dollars)	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: Changing Forms

Short Statement: The following changes have been made to the form: 1) Remove collection of zip codes under Table A.2 Place Based Services. This change is in response to significant burden awardees have reported on collecting and reporting this data over the last three years and HRSA can monitor and communicate reach of the program using the county data that will continue to get collected on Table A.2; 2) Update definitions of key terms to remove definition of zip codes; 3) Remove Section B of the form. Section B of the form has not been used and HRSA does not anticipate the need for this form in the future. Average burden hours were reduced by 3 hours per response per respondents to reflect the requested revisions.

Annual Cost to Federal Government: $235,202

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]? Yes

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? Yes

Agency Contact: Laura Cooper 301 443-2126 lcooper@hrsa.gov

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