Information Collection Request
Tribal Maternal, Infant, and Early Childhood Home Visiting Program Data Reports: Demographic and Service Utilization, Grantee Performance Measures and Quarterly Performance Reports
ICR 202306-0970-007 · OMB 0970-0614 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0614 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form QPR Tribal MIECHV Quarterly Performance Report |
Form and Instruction | New | Repair queued |
| Form PMR Tribal MIECHV Performance Measures Report |
Form and Instruction | New | Repair queued |
| Form DSUR Tribal MIECHV Demographic & Service Utilization Data Report (Families) |
Form and Instruction | New | Repair queued |
| Form DSUR Tribal MIECHV Demographic & Service Utilization Data Report (Grantees) |
Form and Instruction | New | Missing upstream |
 THV Reporting Guidance Supporting Statement 6.14.23.docx |
Supporting Statement A | Uploaded 2023-06-14 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 260666 |  Tribal MIECHV Quarterly Performance Report |
Form and Instruction | New | |
| 260665 | Tribal MIECHV Performance Measures Report |
Form and Instruction | New | |
| 260664 | Tribal MIECHV Demographic & Service Utilization Data Report (Families) |
Form and Instruction | New | |
| 260663 | Tribal MIECHV Demographic & Service Utilization Data Report (Grantees) |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/ACF |
| OMB Control No | 0970-0614 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |