Notice2025-00129
Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Maternal, Infant, and Early Childhood Home Visiting Program Model Eligibility Review Survey
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Published
January 8, 2025
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
In compliance with the requirement for opportunity for public comment on proposed data collection projects of the Paperwork Reduction Act of 1995, HRSA announces plans to submit an Information Collection Request (ICR), described below, to the Office of Management and Budget (OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the public regarding the burden estimate, below, or any other aspect of the ICR. Specifically, HRSA is inviting public comment on its proposed survey to identify evidence-based service delivery models that funding recipients may use to provide services under HRSA's MIECHV Program.
Full Text
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<title>Federal Register, Volume 90 Issue 5 (Wednesday, January 8, 2025)</title>
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[Federal Register Volume 90, Number 5 (Wednesday, January 8, 2025)]
[Notices]
[Pages 1508-1510]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-00129]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request; Information Collection Request Title: Maternal,
Infant, and Early Childhood Home Visiting Program Model Eligibility
Review Survey
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services (HHS).
ACTION: Notice with request for comment.
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SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects of the Paperwork Reduction
Act of 1995, HRSA announces plans to submit an Information Collection
Request (ICR), described below, to the Office of Management and Budget
(OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the
public regarding the burden estimate, below, or any other aspect of the
ICR. Specifically, HRSA is inviting public comment on its proposed
survey to identify evidence-based service delivery models that funding
recipients may use to provide services under HRSA's MIECHV Program.
DATES: Comments on this ICR should be received no later than March 10,
2025.
ADDRESSES: Submit your comments to <a href="/cdn-cgi/l/email-protection#8dfdecfde8fffae2ffe6cde5fffeeca3eae2fb"><span class="__cf_email__" data-cfemail="a4d4c5d4c1d6d3cbd6cfe4ccd6d7c58ac3cbd2">[email protected]</span></a> or mail the HRSA
Information Collection Clearance Officer, Room 14NWH04, 5600 Fishers
Lane, Rockville, Maryland, 20857.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the data collection plans and
draft instruments, email <a href="/cdn-cgi/l/email-protection#c1b1a0b1a4b3b6aeb3aa81a9b3b2a0efa6aeb7"><span class="__cf_email__" data-cfemail="106071607562677f627b50786263713e777f66">[email protected]</span></a> or call Joella Roland, the
HRSA Information Collection Clearance Officer, at (301) 443-3983.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the ICR title for reference.
Information Collection Request Title: Maternal, Infant, and Early
Childhood Home Visiting (MIECHV) Program Model Eligibility Review
Survey, OMB No. 0915-xxxx--New
Abstract: HRSA, through its Maternal and Child Health Bureau,
oversees the MIECHV Program in partnership with the Administration for
Children and Families (ACF) within HHS. The MIECHV Program supports
voluntary, evidence-based home visiting services during pregnancy and
to families with young children up to kindergarten entry living in at-
risk communities. The MIECHV Program was last reauthorized in December
2022.\1\ One key program requirement is that programs deliver services
using models that meet HHS criteria for evidence of effectiveness.\2\
HRSA and ACF define such service delivery models as ``evidence-based.''
ACF administers the Home Visiting Evidence of Effectiveness (HomVEE)
review process to identify early childhood home visiting models that
demonstrate evidence of effectiveness.\3\ However, not all evidence-
based service delivery models approved through the HomVEE process meet
MIECHV statutory requirements as enacted in the last reauthorization of
the program in 2022 such that they may be used to carry out the MIECHV
Program in fidelity to applicable program requirements.
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\1\ Section 6101 of the Consolidated Appropriations Act, 2023,
Public Law 117-328, recently amended Section 511 of the Social
Security Act, as added by the Patient Protection and Affordable Care
Act, Public Law 111-148, section 2951, and extended appropriated
funding through FY 2027.
\2\ 42 U.S.C. 711(d)(3)(C)(i).
\3\ The current HHS criteria for evidence-based models can be
found at: <a href="https://homvee.acf.hhs.gov/about-us/hhs-criteria">https://homvee.acf.hhs.gov/about-us/hhs-criteria</a>.
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HRSA previously issued a Request for Information notice and request
for comment regarding its proposal to standardize criteria for
assessing model eligibility to be implemented using MIECHV Program
funds in 2021.\4\ This ICR reflects new MIECHV statutory provisions
that were added in December 2022 and thus replaces that 2021 notice.
HRSA is issuing this ICR to propose a survey to identify service
delivery models that meet both HHS criteria for evidence of
effectiveness, as determined by HomVEE review, and applicable MIECHV
statutory requirements, and therefore may be used by eligible entities
to provide home visiting services through the MIECHV Program. This will
be accomplished by validating whether evidence-based models, as
determined by HomVEE, align with the MIECHV Program's statutory
requirements, as further discussed in this notice. This process will
ensure that models used by funding recipients (and their local
implementing agencies) to deliver MIECHV Program services effectively
support programs in meeting core components of the MIECHV Program,
including those added during the program's 2022 reauthorization.
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\4\ HRSA, HHS. ``Statutory Requirements and Process
Standardization: Maternal, Infant, and Early Childhood Home Visiting
(MIECHV) Program Model Eligibility Review.'' Federal Register 86,
no. 184 (September 27, 2021): 53329. <a href="https://www.federalregister.gov/d/2021-20853">https://www.federalregister.gov/d/2021-20853</a>.
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Following approval of this ICR request, HRSA will assess all models
that meet HHS criteria for evidence of effectiveness, as determined by
the HomVEE review, to determine their MIECHV eligibility by requesting
information from home visiting model developers through a standardized
survey. As of November 20, 2024, HomVEE lists 24 models that meet HHS
criteria for evidence of effectiveness.\5\ Upon receiving the survey
from HRSA, model developers will have 30 days to provide requested
information on model characteristics, resources, and processes. A panel
of HRSA reviewers will assess the survey responses against the MIECHV
statutory requirements. Any of the 24 evidence-based models that also
meet these criteria will be considered eligible for MIECHV Program
implementation and remain eligible for implementation after the end of
the current performance period.
[[Page 1509]]
Models that do not meet these criteria will not be eligible to be used
by eligible entities (and their local implementing agencies) to carry
out the MIECHV Program and may continue to be used only through the
currently applicable period of performance. HRSA will work with
eligible entities regarding any changes in model approval that may
affect their program implementation because certain models will no
longer be available for use; however, eligible entities will be
expected to propose projects using models approved for MIECHV Program
implementation under future funding awards. Model developers may submit
a written request for reconsideration of HRSA's decision within 15 days
of receiving a negative determination and should provide any available
supporting information for their request. HRSA will have 45 days after
the receipt of the request to reassess the model.
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\5\ HomVEE lists home visiting models that meet HHS criteria for
evidence of effectiveness at: <a href="https://homvee.acf.hhs.gov/HRSA-Models-Eligible-MIECHV-Grantees">https://homvee.acf.hhs.gov/HRSA-Models-Eligible-MIECHV-Grantees</a>.
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After HRSA completes the initial review, all eligible models may be
reassessed against the statutory requirements through the routine,
periodic HomVEE review process for models that have already met HHS
criteria for evidence of effectiveness. HRSA and ACF will continue to
collaborate in future years to assess home visiting models against
MIECHV statutory requirements.
HRSA seeks public comment on the proposed methodology HRSA proposes
to use to identify service delivery models that meet MIECHV statutory
requirements, including how the proposed changes will affect interested
parties such as eligible entities, model developers, and eligible
families receiving MIECHV services.
MIECHV Program Statutory Requirements for Home Visiting Models: The
MIECHV Program's authorizing statute mandates that funding recipients
implementing the program use a service delivery model that meets
specific statutory requirements. Models must ``conform to a clear
consistent home [visiting] model that has been in existence for at
least 3 years and is research-based, grounded in relevant empirically-
based knowledge, linked to program determined outcomes, [and is]
associated with a national organization or institution of higher
education that has comprehensive home visitation program standards that
ensure high-quality service delivery and continuous program quality
improvement.'' \6\ Under the statute, the model must also have
demonstrated significant sustained positive outcomes in statutory
benchmark areas and participant outcomes when evaluated using well-
designed and rigorous randomized controlled research designs, and the
evaluation results have been published in a peer-reviewed journal; or
quasi-experimental research designs.\7\ The 2022 reauthorization also
added a new requirement that the ``standards for training requirements
applicable to virtual service delivery under a home visiting model
shall be equivalent to those that apply to in-person service delivery
under the model.'' \8\
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\6\ 42 U.S.C. 711(d)(3)(A)(i)(I).
\7\ 42 U.S.C. 711(d)(3)(A)(i)(I).
\8\ 42 U.S.C. 711(d)(4)(B).
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To ensure programs comply with MIECHV statutory requirements,\9\
service delivery models also must support the delivery of home visiting
services through the employment of well-trained and competent staff
\10\ that receive ongoing high-quality supervision,\11\ support
programs' strong organizational capacity to implement home visiting
activities \12\ and ability to establish appropriate linkages and
referral networks to other community resources and supports for
participating families,\13\ monitor the fidelity of program
implementation to ensure services are delivered in fidelity to the
specified model,\14\ and ensure voluntary participation in the
program.\15\ The 2022 reauthorization also requires MIECHV programs
\16\ to implement service delivery home visiting models that provide or
support targeted, intensive home visiting services for high-risk
populations \17\ and support the delivery of home visiting services
through at least one in-person home visit for each participating family
during each 12-month period of enrollment.\18\
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\9\ HRSA proposes to identify service delivery models that may
be used by MIECHV funding recipients because they comply with
statutory requirements applicable to service delivery models and
support MIECHV statutory program requirements. Such models, in
addition to meeting the service delivery model requirements in
subsections 711(d)(3)(A)(i) and 711(d)(4)(B), must also support
program requirements, including those in subsections 711(d)(3)(C)
and 711(e).
\10\ 42 U.S.C. 711(d)(3)(C)(ii).
\11\ 42 U.S.C. 711(d)(3)(C)(iii).
\12\ 42 U.S.C. 711(d)(3)(C)(iv).
\13\ 42 U.S.C. 711(d)(3)(C)(v).
\14\ 42 U.S.C. 711(d)(3)(C)(vi).
\15\ 42 U.S.C. 711(e)(7)(A).
\16\ HRSA proposes to identify service delivery models that may
be used by MIECHV funding recipients because they comply with
statutory requirements applicable to service delivery models and
support MIECHV statutory program requirements.
\17\ 42 U.S.C. 711(d)(3)(B).
\18\ 42 U.S.C. 711(d)(3)(C)(vii), 711(e)(10)(C).
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Need and Proposed Use of the Information: Section 711 establishes
statutory requirements for the MIECHV Program. Information gained from
this information collection will inform determinations of which service
delivery models are eligible to be implemented in the MIECHV Program.
Likely Respondents: Organizations that develop, support
implementation of, and implement early childhood home visiting models
that meet HHS criteria for evidence of effectiveness, as determined by
HomVEE review.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose, or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install, and utilize technology and
systems for the purpose of collecting, validating, and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
Total Estimated Annualized Burden Hours
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Number of Average burden
Form name Number of responses per Total per response Total burden
respondents respondent responses (in hours) hours
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MIECHV Program Model Eligibility 24 1 24 3 72
Review Survey..................
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Total....................... 24 .............. 24 .............. 72
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HRSA specifically requests comments on: (1) the necessity and
utility of the proposed information collection for the proper
performance of the agency's functions; (2) the accuracy of the
estimated burden; (3) ways to enhance the quality, utility, and clarity
of the information to be collected; and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-00129 Filed 1-7-25; 8:45 am]
BILLING CODE 4165-15-P
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