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

ICR 202502-0970-005

OMB: 0970-0614

Federal Form Document

Forms and Documents

Document Name	Status
Form QPR Tribal MIECHV Quarterly Performance Report Form and Instruction	Modified
Form PMR Tribal MIECHV Performance Measures Report Form and Instruction	Unchanged
Form DSUR Tribal MIECHV Demographic & Service Utilization Data Report (Families) Form and Instruction	Modified
Form DSUR Tribal MIECHV Demographic & Service Utilization Data Report (Grantees) Form and Instruction	Modified
NonSub Change - Update to ACF ICs - Protecting Women EO - Submission 2.10.25.docx Justification for No Material/Nonsubstantive Change	2025-02-10
NonSub Change Request DSUR 7.29.24_fnl.docx Justification for No Material/Nonsubstantive Change	2024-07-29
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	Modified
260665	Tribal MIECHV Performance Measures Report Form and Instruction	Unchanged
260664	Tribal MIECHV Demographic & Service Utilization Data Report (Families) Form and Instruction	Modified
260663	Tribal MIECHV Demographic & Service Utilization Data Report (Grantees) Form and Instruction	Modified