Affordable Care Act Tribal Maternal, Infant, and Early Childhood Home Visiting Guidance

Forms and Documents

Document Name	Status
THV ARS Supporting Statement 2021_8.16.21_Fnl.docx Supporting Statement A	2021-08-16

IC Document Collections

IC ID	Document Title	Status
231062	Guidance Instruction	Modified

ICR Details

OMB Control No: 0970-0409	ICR Reference No: 202108-0970-012
Status: Received in OIRA	Previous ICR Reference No: 201804-0970-002
Agency/Subagency: HHS/ACF	Agency Tracking No: OCC
Title: Affordable Care Act Tribal Maternal, Infant, and Early Childhood Home Visiting Guidance
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/19/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2021
Responses	23	25
Time Burden (Hours)	575	1,250
Cost Burden (Dollars)	0	0

---

Abstract: Title V Section 511(e)(8)(A) of the Social Security Act, requires grantees under the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program for states and jurisdictions submit an annual report to the Secretary of Health and Human Services regarding the program and activities carried out under the program, including such data and information as the Secretary shall require. Section 511 further states that the requirements for the MIECHV grants to tribes, tribal organizations, and urban Indian organizations are to be consistent, to the greatest extent practicable, with the requirements for grantees under the MIECHV program for states and jurisdictions. The Administration for Children and Families, Office of Child Care, in collaboration with the Health Resources and Services Administration, Maternal and Child Health Bureau, has awarded grants for the Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal Home Visiting) since 2010. The Tribal Home Visiting discretionary grants support cooperative agreements to conduct community needs assessments; plan for and implement high-quality, culturally-relevant, evidence-based home visiting programs in at-risk tribal communities; establish, measure, and report on progress toward meeting performance measures in six legislatively-mandated benchmark areas; and participate in rigorous evaluation activities to build the knowledge base on home visiting among Native populations. Tribal Home Visiting grantees have been notified that in every year of their grant, after the first year, they must comply with the requirement for submitting an Annual Report to the Secretary and during the final year of their grants, a Final Report to the Secretary that should feature activities carried out under the program during the past reporting period. In order to assist grantees with meeting the requirements, ACF created guidance for grantees to use when writing their annual and final reports. The guidance has and will continue to provide sections where grantees must address the following: - Update on Home Visiting Program Goals and Objectives - Update on the Implementation of Home Visiting Program in Targeted Community(ies) - Progress toward Meeting Legislatively Mandated Benchmark Requirements - Update on Rigorous Evaluation Activities - Home Visiting Program Continuous Quality Improvement (CQI) Efforts - Administration of Home Visiting Program - Technical Assistance Needs The current request updates the guidance to remove guidance about the final report, as that guidance is undergoing further updates and will be submitted separately for review and approval.

---

Authorizing Statute(s): PL: Pub.L. 74 - 271 511(e)(8)(A) Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 31719	06/15/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 46704	08/19/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Guidance

---

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	23	25	0	-2	0	0
Annual Time Burden (Hours)	575	1,250	0	-675	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: There are only minor changes to the Tribal MIECHV Guidance for Submitting an Annual Report to the Secretary. The Guidance for Submitting a Final Report to the Secretary has been removed, and will be submitted for approval as a separate instrument. For that reason, the estimated time per response has reduced to only be specific to the annual reports.

---

Annual Cost to Federal Government: $14,295

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/19/2021

---