Notice

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

A Notice by the Health Resources and Services Administration on 03/13/2026

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• Public Inspection Published Document: 2026-04900 (91 FR 12431) Document Headings ###### Department of Health and Human Services

Health Resources and Services Administration

AGENCY:

Health Resources and Services Administration (HRSA), Department of Health and Human Services.

ACTION:

Notice.

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 www.reginfo.gov/​public/​do/​PRAMain. 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 paperwork@hrsa.gov 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 ( printed 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:

• Form 1 cross-cutting changes: ○ Remove new and continuing participant categories from Tables 4, 5, 18, 19, and 20.

○ Remove pregnant participant and caregiver categories for Table 9, 10, 11, and 18.

○ Add Section D: Place Based Services to collect, on an annual basis, information previously reported quarterly on Form 4.

○ Renumber tables as appropriate per other changes and minor edits to data labels.

• Form 1, Tables 1 and 2: Combine Tables 1 and 2 into one table that captures new and continuing participants and households together.
• Form 1, Table 4: Decrease the number of response categories for age of adult participants from 10 to 6.
• 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.
• Form 1, Table 8: Remove this table from the data collection form.
• 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.
• Form 2, Performance Measure 3: Add a sub-measure to collect data on anxiety screening.
• Form 2, Performance Measure 5: Expand the postpartum visit window to within 12 weeks (84 days) of delivery.
• Form 2, Performance Measure 6: Update the measure definition to explicitly mention e-tobacco.
• Form 2, Performance Measure 7: Update the safe sleep measure to specify a 2-week lookback period for the reporting window.
• Form 2, Performance Measure 17: Add a sub-measure to collect data on completed anxiety referrals.
• Form 4, Table A2: Remove the table from Form 4; the table will be moved to Form 1.
• Form 4, Table A3: Remove this table from data collection.
• 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. ( printed page 12433)

| Form name | Number of
respondents | Number of
responses per

respondent | Total responses | Average
burden

per response

(in hours) | Total burden hours |
| --- | --- | --- | --- | --- | --- |
| Form 1: Demographic, Service Utilization, Select Clinical Indicators, and Program Locations | 56 | 1 | 56 | 448 | 25,088 |
| Form 2: Performance Indicators and Systems Outcome Measures | 56 | 1 | 56 | 723 | 40,488 |
| Form 4: Quarterly Performance Report | 56 | 4 | 224 | 35 | 7,840 |
| Total | 56 | | 280 | | 73,416 |
Maria G. Button,

Director, Executive Secretariat.

[FR Doc. 2026-04900 Filed 3-12-26; 8:45 am]

BILLING CODE 4165-15-P

Published Document: 2026-04900 (91 FR 12431)