Tribal Maternal, Infant, and Early Childhood Home Visiting Program Data Reports: Demographic and Service Utilization, Grantee Performance Measures and Quarterly Performance Reports

ICR 202306-0970-007

OMB: 0970-0614

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0614 can be found here:

2025-03-28 - No material or nonsubstantive change to a currently approved collection
2024-07-29 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form QPR Tribal MIECHV Quarterly Performance Report Form and Instruction	New
Form PMR Tribal MIECHV Performance Measures Report Form and Instruction	New
Form DSUR Tribal MIECHV Demographic & Service Utilization Data Report (Families) Form and Instruction	New
Form DSUR Tribal MIECHV Demographic & Service Utilization Data Report (Grantees) Form and Instruction	New
THV Reporting Guidance Supporting Statement 6.14.23.docx Supporting Statement A	2023-06-14

IC Document Collections

IC ID	Document Title	Status
260666	Tribal MIECHV Quarterly Performance Report Form and Instruction	New
260665	Tribal MIECHV Performance Measures Report Form and Instruction	New
260664	Tribal MIECHV Demographic & Service Utilization Data Report (Families) Form and Instruction	New
260663	Tribal MIECHV Demographic & Service Utilization Data Report (Grantees) Form and Instruction	New

ICR Details

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