Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Maternal, Infant, and Early Childhood Home Visiting Program Model Eligibility Review Survey, OMB No. 0906-XXXX-New
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Issuing agencies
Abstract
In compliance with the Paperwork Reduction Act of 1995, HRSA submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period. OMB may act on HRSA's ICR only after the 30-day comment period for this notice has closed.
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<title>Federal Register, Volume 90 Issue 237 (Friday, December 12, 2025)</title>
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[Federal Register Volume 90, Number 237 (Friday, December 12, 2025)]
[Notices]
[Pages 57770-57772]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-22609]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request; Maternal, Infant, and
Early Childhood Home Visiting Program Model Eligibility Review Survey,
OMB No. 0906-XXXX--New
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services (HHS).
ACTION: Notice.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA
submitted an Information Collection Request (ICR) to the Office of
Management and Budget (OMB) for review and approval. Comments submitted
during the first public review of this ICR will be provided to OMB. OMB
will accept further comments from the public during the review and
approval period. OMB may act on HRSA's ICR only after the 30-day
comment period for this notice has closed.
DATES: Comments on this ICR should be received no later than January
12, 2026.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under Review--Open for
Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email Samantha Miller, the HRSA
Information Collection Clearance Officer, at <a href="/cdn-cgi/l/email-protection#2d5d4c5d485f5a425f466d455f5e4c034a425b"><span class="__cf_email__" data-cfemail="cabaabbaafb8bda5b8a18aa2b8b9abe4ada5bc">[email protected]</span></a> or call
(301) 443-3983.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Maternal, Infant, and Early
Childhood Home Visiting (MIECHV) Program Model Eligibility Review
Survey, OMB No. 0915-XXXX--New.
Abstract: HRSA's MIECHV Program supports voluntary, evidence-based
home visiting services for expectant and new parents 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, referred to as
evidence-based models.\2\ The Administration for Children and Families
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 fiscal year 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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In 2021, HRSA 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.\4\ This 2025 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 funding recipients 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 meet 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 begin the process
of assessing all models that meet HHS criteria for evidence of
effectiveness, as determined by the HomVEE review, to determine their
MIECHV eligibility. It will initiate this process by requesting
information from home visiting model developers through a standardized
survey. As of November 2025, 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 statutory criteria will be considered eligible for MIECHV
Program implementation and remain eligible for implementation after the
end of the current performance period. Models that do not meet these
criteria will be deemed ineligible for use by funding recipients (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 funding recipients regarding any
changes in model approval that may affect their program implementation;
however, funding
[[Page 57771]]
recipients 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's initial review, all eligible models may be reassessed
against the MIECHV statutory requirements through the routine, periodic
HomVEE review process for models that have already met HHS criteria for
evidence of effectiveness. HRSA and the Administration for Children and
Families will continue to collaborate in future years to assess home
visiting models against MIECHV statutory requirements.
HRSA seeks public comment on the proposed methodology to identify
service delivery models that meet MIECHV statutory requirements,
including how the proposed changes will affect interested parties such
as funding recipients, 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 that
also support other 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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A 60-day notice was published in the Federal Register on January 8,
2025, Vol. 90, No. 5; pp. 1508-1510. There were no public comments.
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, and that are interested in having their models assessed
against other MIECHV statutory requirements to establish eligibility
for use by MIECHV funding recipients.
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 Total
Form name Number of responses per Total per response burden
respondents respondent responses (in hours) hours
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MIECHV Program Model Eligibility Review 24 1 24 3 72
Survey.................................
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Total............................... 24 .............. 24 ............... 72
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[[Page 57772]]
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2025-22609 Filed 12-11-25; 8:45 am]
BILLING CODE 4165-15-P
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