Tribal Maternal, Infant, and Early Childhood Home Visiting Program Performance Reporting Form 2

ICR 202001-0970-003

OMB: 0970-0500

Federal Form Document

IC Document Collections
ICR Details
0970-0500 202001-0970-003
Active 201705-0970-005
HHS/ACF OCC
Tribal Maternal, Infant, and Early Childhood Home Visiting Program Performance Reporting Form 2
Revision of a currently approved collection   No
Regular
Approved without change 02/19/2020
Retrieve Notice of Action (NOA) 01/16/2020
  Inventory as of this Action Requested Previously Approved
02/28/2023 36 Months From Approved 08/31/2020
23 0 20
11,500 0 10,000
0 0 0

Section 511 of the Social Security Act, created the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) and authorized the Secretary of the Department of Health and Human Services (HHS) (in Section 511(h)(2)(A)) to award grants to Indian tribes (or a consortium of Indian tribes), tribal organizations, or urban Indian organizations to conduct an early childhood home visiting program. The legislation set aside 3 percent of the total MIECHV program appropriation for grants to tribal entities. The Administration for Children and Families (ACF), Office of Child Care, in collaboration with the Health Resources and Services Administration, Maternal and Child Health Bureau, awards grants for the Tribal MIECHV Program. The Tribal MIECHV grant awards support 5-year cooperative agreements to implement high-quality, culturally-relevant, evidence-based home visiting programs in at-risk Tribal communities. Tribal MIECHV grants, to the greatest extent practicable, are to be consistent with the requirements of the MIECHV grants to states and jurisdictions (authorized in Section 511(c)), and include conducting a needs assessment and establishing quantifiable, measurable benchmarks. Specifically, the MIECHV legislation requires State and Tribal MIECHV grantees to collect data to measure improvements for eligible families in six specified areas (referred to as "benchmark areas") that encompass the major goals for the program. As part of their implementation plans, Tribal MIECHV grantees are required to propose a plan for meeting the benchmark requirements specified in the legislation and must report performance data to HHS, with improvement assessed at the end of Year 4 and Year 5 of their 5-year grants. The Tribal Home Visiting (HV) Form 2 provides a template for Tribal MIECHV grantees to report data on their progress in improving performance under the six benchmark areas, as stipulated in the legislation. The purpose of this information collection request is to renew the existing approval under OMB No.: 0970-0500 so ACF can continue to use Tribal MIECHV Form 2.

US Code: 44 USC 711 Name of Law: Social Security Act, Title V, Section 511
   PL: Pub.L. 114 - 10 511(h)(2)(A) Name of Law: Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act of 2015
  
None

Not associated with rulemaking

  84 FR 62533 11/15/2019
85 FR 2744 01/16/2020
No

1
IC Title Form No. Form Name
Tribal Maternal, Infant, and Early Childhood Home Visiting Performance Reporting Form 2 Tribal MIECHV Reporting Form 2

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 23 20 0 0 3 0
Annual Time Burden (Hours) 11,500 10,000 0 0 1,500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The number of respondents has been updated from 20 to 23 based on the current number of grantees.

$86,200
No
    No
    No
No
No
No
Uncollected
Molly Buck 202 205-4724 mary.buck@acf.hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/16/2020


© 2024 OMB.report | Privacy Policy