Notice2025-22609

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

Primary source

Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.

Published
December 12, 2025

Issuing agencies

Health and Human Services DepartmentHealth Resources and Services Administration

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.

Full Text

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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&#160;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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