Notice2026-04900
Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; The Maternal, Infant, and Early Childhood Home Visiting Program Performance Measurement Information System
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
March 13, 2026
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 91 Issue 49 (Friday, March 13, 2026)</title>
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[Federal Register Volume 91, Number 49 (Friday, March 13, 2026)]
[Notices]
[Pages 12431-12433]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-04900]
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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; The Maternal, Infant, and
Early Childhood Home Visiting Program Performance Measurement
Information System
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
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 April 13,
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#b6c6d7c6d3c4c1d9c4ddf6dec4c5d798d1d9c0"><span class="__cf_email__" data-cfemail="285849584d5a5f475a4368405a5b49064f475e">[email protected]</span></a> or call
(301) 443-3983.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: The Maternal, Infant, and
Early Childhood Home Visiting Program Performance Measurement
Information System, OMB No. 0906-0017--Revision
Abstract: This request is for continued approval of the Maternal,
Infant, and Early Childhood Home Visiting (MIECHV) Program Performance
Measurement Information System. The MIECHV Program is administered by
the Maternal and Child Health Bureau within HRSA in partnership with
the Administration for Children and Families, and provides support to
all 56 states and jurisdictions, as well as tribes and tribal
organizations. Through a needs assessment, states, jurisdictions,
tribes, and tribal organizations identify target populations and select
the home visiting service delivery model(s) that
[[Page 12432]]
best meet their needs. State and jurisdiction MIECHV funding recipients
report annual demographic and performance data to HRSA through Form 1--
Demographic Performance Measures and Form 2--Benchmark Performance
Measures. MIECHV funding recipients also report program information on
a quarterly basis through Form 4--Quarterly Data Collection (currently
approved under OMB No. 0906-0016). This ICR will now include Forms 1,
2, and 4, so all the components of data collection for the MIECHV
Program are in one request. OMB No. 0906-0016 will be discontinued
after OMB approval of this ICR.
HRSA is revising the data collection forms for the MIECHV Program
to reduce administrative burden where possible and to increase
alignment with current clinical and evidence-based guidelines and with
performance measures of other maternal and child health programs.
HRSA proposes the following changes:
<bullet> Form 1 cross-cutting changes:
[cir] Remove new and continuing participant categories from Tables
4, 5, 18, 19, and 20.
[cir] Remove pregnant participant and caregiver categories for
Table 9, 10, 11, and 18.
[cir] Add Section D: Place Based Services to collect, on an annual
basis, information previously reported quarterly on Form 4.
[cir] Renumber tables as appropriate per other changes and minor
edits to data labels.
<bullet> Form 1, Tables 1 and 2: Combine Tables 1 and 2 into one
table that captures new and continuing participants and households
together.
<bullet> Form 1, Table 4: Decrease the number of response
categories for age of adult participants from 10 to 6.
<bullet> Form 1, Tables 6 and 7: Update response categories to
align with OMB's Statistical Policy Directive 15: Standards for
Maintaining, Collecting and Presenting Federal Data on Race and
Ethnicity.
<bullet> Form 1, Table 8: Remove this table from the data
collection form.
<bullet> Form 1, Table 11: Streamline reporting for adult
participants by housing status by decreasing ``Not Homeless'' data sub-
categories from 5 to 1 and ``Homeless'' sub-categories from 3 to 2.
<bullet> Form 2, Performance Measure 3: Add a sub-measure to
collect data on anxiety screening.
<bullet> Form 2, Performance Measure 5: Expand the postpartum visit
window to within 12 weeks (84 days) of delivery.
<bullet> Form 2, Performance Measure 6: Update the measure
definition to explicitly mention e-tobacco.
<bullet> Form 2, Performance Measure 7: Update the safe sleep
measure to specify a 2-week lookback period for the reporting window.
<bullet> Form 2, Performance Measure 17: Add a sub-measure to
collect data on completed anxiety referrals.
<bullet> Form 4, Table A2: Remove the table from Form 4; the table
will be moved to Form 1.
<bullet> Form 4, Table A3: Remove this table from data collection.
<bullet> Forms 1, 2, and 4: Update Definition of Key Terms to
reflect the changes.
A 60-day notice was published in the Federal Register on December
22, 2025, vol. 90, No. 243; pp. 59844-45. HRSA received one comment
from the Association of State and Tribal Home Visiting Initiatives
expressing appreciation that HRSA gave their members the opportunity to
provide input throughout the process of making changes and noted the
need for ongoing support for the performance measure changes.
Since publication of the 60-day notice, HRSA made minor edits to
wording throughout Form 2 to improve consistency of terminology use
across measure titles and to use more plain language to describe the
measures. These changes do not alter definitions or specifications of
the measures and have no impact on burden hours.
Need and Proposed Use of the Information: HRSA uses performance
information to demonstrate program accountability and continuously
monitor and provide oversight to MIECHV Program awardees. The
information is also used to provide quality improvement guidance and
technical assistance to awardees and help inform the development of
early childhood systems at the national, state, and local level. HRSA
is seeking to revise and extend collection of (1) demographic, service
utilization, and select clinical indicators for participants enrolled
in home visiting services, and location of services (annually via Form
1); (2) a set of standardized performance and outcome indicators that
correspond with the statutorily identified benchmark areas (annually
via Form 2); and (3) home visiting program capacity and staffing data
(quarterly via Form 4).
This information will be used to demonstrate awardees' compliance
with legislative and programmatic requirements. It will also be used to
monitor and provide continued oversight of awardee performance and to
target technical assistance resources for awardees. Revisions to the
forms meet a statutory requirement to reduce administrative burden for
MIECHV funding recipients (Section 511(h)(6)(A) of the Social Security
Act). HRSA reviewed the information collected and streamlined, where
possible, to collect optimum amount of data necessary to fulfill
awardee performance measurement and demonstration of improvement
requirements. Additionally, other revisions have been made to align
performance measures with other maternal and child health programs,
with current Statistical Policy Directive 15 (Standards for
Maintaining, Collecting, and Presenting Federal Data on Race and
Ethnicity), and current clinical and evidence-based guidelines. The
revisions reflect feedback from current MIECHV funding recipients, home
visiting model developers, and federal partners.
Likely Respondents: MIECHV Program funding recipients that are
states, jurisdictions, and, where applicable, nonprofit organizations
providing home visiting services within states.
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.
HRSA updated the estimated burden hours based on data collected in
summer 2024 under OMB No. 0906-0094, titled ``Implement MIECHV Program
2022 Legislative Changes: Assessment of Administrative Burden.'' The
same group of 56 respondents will complete each form.
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Total Estimated Annualized Burden Hours
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Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (in hours
respondent hours)
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Form 1: Demographic, Service 56 1 56 448 25,088
Utilization, Select Clinical
Indicators, and Program
Locations......................
Form 2: Performance Indicators 56 1 56 723 40,488
and Systems Outcome Measures...
Form 4: Quarterly Performance 56 4 224 35 7,840
Report.........................
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Total....................... 56 .............. 280 .............. 73,416
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Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2026-04900 Filed 3-12-26; 8:45 am]
BILLING CODE 4165-15-P
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