HRSA tweaks paperwork for baby home visits—yawn-worthy update alert
Published Date: 12/22/2025
Notice
Summary
HRSA is updating how it collects data from all 56 states, tribes, and territories about the Maternal, Infant, and Early Childhood Home Visiting Program. They want your feedback on the changes before February 20, 2026, to make sure the data collection is clear and not too much work. This helps improve support for families and young kids without adding extra costs.
Analyzed Economic Effects
4 provisions identified: 1 benefits, 1 costs, 2 mixed.
Estimated Reporting Burden: 73,416 Annual Hours
HRSA estimates the total annualized burden for the revised ICR is 73,416 hours across 56 respondents. The table in the notice shows Form 1 totals 25,088 hours (56 respondents × 448 hours), Form 2 totals 40,488 hours (56 × 723 hours), and Form 4 totals 7,840 hours (56 respondents × 4 responses × 35 hours).
MIECHV Forms Streamlined and Revised
HRSA is revising the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) data collection forms (Forms 1, 2, and 4) to remove some tables, combine others (e.g., Tables 1 and 2), renumber tables, reduce age and housing response categories, align race/ethnicity categories with OMB Statistical Policy Directive 15, and update key term definitions. These changes are intended to reduce administrative burden and increase alignment with current clinical and evidence-based guidelines.
New and Updated Clinical Measures Added
HRSA is adding and updating clinical performance measures that MIECHV awardees must report: adding anxiety screening and a completed-anxiety-referrals sub-measure (Performance Measures 3 and 17), expanding the postpartum visit window to within 12 weeks (84 days) for Performance Measure 5, updating the tobacco-use definition to explicitly include e-tobacco for Performance Measure 6, and specifying a 2-week lookback for the safe sleep measure (Performance Measure 7).
Place-Based Services Reporting Moved to Annual
HRSA will add Section D: Place Based Services to Form 1 to collect information annually that was previously reported quarterly on Form 4 (moving that content from quarterly reporting to annual reporting).
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Key Dates
Department and Agencies
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