Change Requests

What is an ICR?

An Information Collection Request (ICR) is a federal agency's request for approval from the Office of Management and Budget (OMB) to collect information from the public. Under the Paperwork Reduction Act (PRA), agencies must justify why the information is needed and how it will be used.

When are they submitted?

Federal agencies are required to submit an ICR whenever they create, renew, modify an information collection. Each ICR includes a description of the collection, supporting materials and documentation (such as forms, surveys, or scripts), and proof that the agency has met the requirements of the PRA.

The ICR is submitted to the The Office of Information and Regulatory Affairs (OIRA) within OMB for review and approval. OIRA grants approval for a maximum of three years, after which the collection must be renewed through a new ICR submission.

Where to find an ICR?

ICRs are publicly available on RegInfo.gov, and additional guidance can be found in the FAQs.

Note: Presidential Action influences are notated for ICRs received between January 20, 2025 and July 19, 2025.

Showing 25 of 629 results

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Reference Number
Title
Agency
Received
Concluded
Action
Status
Request Type
Presidential Action
OMB Control Number
202303-1557-002 Retail Foreign Exchange Transactions TREAS/OCC 2023-03-13 2023-04-18 Approved without change Active
Extension without change of a currently approved collection
Retail Foreign Exchange Transactions

Key Information

Previous ICR

202003-1557-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 111 - 203 742

Abstract

Section 742(c)(2) of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 amended the Commodity Exchange Act to require that U.S. financial institutions may not enter into agreements, contracts, or transactions in foreign currency that are contracts or sales of a commodity for future delivery or an option, other than those executed or traded on a national security exchange under section 6(a) of the Securities Exchange Act of 1934 with a retail customer except pursuant to a regulation of a Federal regulatory agency. The OCC prescribed disclosure, recordkeeping, capital and margin, reporting, business conduct, and documentation requirements necessary to regulate these transactions for national banks, Federal branches and agencies of foreign banks, and their operating subsidiaries.

- 1557-0250
202303-1557-001 Assessment of Fees TREAS/OCC 2023-03-14 2023-04-20 Approved without change Active
Extension without change of a currently approved collection
Assessment of Fees

Key Information

Previous ICR

202003-1557-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

12 USC 1467
12 USC 482

Abstract

The National Bank Act (for national banks and Federal branches and agencies) and the Home Owners’ Loan Act (for Federal savings associations) authorize the OCC to collect assessments, fees, or other charges as necessary or appropriate to carry out the responsibilities of the OCC. The OCC requires independent credit card national banks and independent credit card Federal savings associations (collectively, independent credit card institutions) to pay an additional assessment based on receivables attributable to accounts owned by the national bank or Federal savings association. The OCC requires independent credit card institutions to report receivables attributable data to the OCC semiannually or at a time specified by the OCC. The OCC uses the information to calculate the assessment for each national bank and Federal savings association and adjust the assessment rate for independent credit card institutions over time.

- 1557-0223
202303-3235-019 Form F-10 - Registration Statement SEC 2023-03-13 2023-04-21 Approved without change Active
Revision of a currently approved collection
Form F-10 - Registration Statement

Key Information

Previous ICR

202107-3235-013

Federal Register Notices

60-Day FRN

Authorizing Statutes

15 USC 77g, 77j, 77s(a)
15 USC 78c, 78l, 78m, 78n, 78o(d)
15 USC 78w(a), 78ll
15 USC 80a-8, 80a-24, 80a-29, 80a-37

Abstract

Form F-10 is used by Canadian issuers for registration of securities under the Securities Act of 1933.

- 3235-0380
202303-3235-024 Rule 13e-1 SEC 2023-03-13 2023-04-21 Approved without change Active
Revision of a currently approved collection
Rule 13e-1

Key Information

Previous ICR

202208-3235-021

Federal Register Notices

60-Day FRN

Authorizing Statutes

15 USC 78c, 78l, 78m, 78n, 78o(d)
15 USC 77g, 77j, 77s(a)
15 USC 78w(a), 78ll
15 USC 80a-8, 80a-24, 80a-29, 80a-37

Abstract

Rule 13e-1 was added to the Exchange Act to make it unlawful for an issuer who has received notice that it is the subject of a tender offer made under Section 14(d)(1) of the Act which has commenced under Rule 14d-2 to purchase any equity securities during the tender offer unless it first files a statement with the Commission containing the required information.

- 3235-0305
202303-3235-030 Schedule 13E-4F SEC 2023-03-15 2023-04-21 Approved without change Active
Revision of a currently approved collection
Schedule 13E-4F

Key Information

Previous ICR

202301-3235-017

Federal Register Notices

60-Day FRN

Authorizing Statutes

15 USC 78c, 78l, 78m, 78n, 78o(d)
15 USC 78w(a), 78ll
15 USC 80a-8, 80a-24, 80a-29, 80a-37
15 USC 77g, 77j, 77s(a)

Abstract

Schedule 13E-4F may be used by any foreign private issuer of: (1) the issuer is incorporated or organized under the laws of Canada; (2) the issuer is making a cash tender or exchange offer for the issuer's own securities; and (3) less than 40% of the class of such issuer's securities outstanding that is the subject of the tender offer is held by U.S. holders.

- 3235-0375
202303-3245-001 Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) Tech-Net Database SBA 2023-03-01 2023-04-13 Approved with change Active
Reinstatement without change of a previously approved collection
Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) Tech-Net Database

Key Information

Previous ICR

201903-3245-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

15 USC 638k

Abstract

Small Business Administration maintains the SBIR.GOV database (formerly Tech-Net) which collects information form small businesses (1) Company Registry-where firms register in the system as a prerequisite to applying with a proposal to one of the SBIR/STTR participation agencies; and (2) Commercialization Database-where firms provide information to document the commercialization development of their awarded technologies.

- 3245-0356
202304-3060-015 Cable Carriage of Television Broadcast Stations: Section 76.56(a) Carriage of qualified noncommercial educational stations; Section 76.57, Channel positioning; Section 76.61(a)(1)-(2) Section 76.64... FCC 2023-04-26 2023-04-26 Approved without change Active
Extension without change of a currently approved collection
Cable Carriage of Television Broadcast Stations: Section 76.56(a) Carriage of qualified noncommercial educational stations; Section 76.57, Channel positioning; Section 76.61(a)(1)-(2) Section 76.64...

Key Information

Previous ICR

202006-3060-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

47 USC 615
47 USC 1, 4(i) and (j), 325, 336, 614

Abstract

Under Section 614 of the Communications Act and the implementing rules adopted by the Commission, commercial TV broadcast stations are entitled to assert mandatory carriage rights on cable systems located within the station’s television market. Under Section 325(b) of the Communications Act, commercial TV broadcast stations are entitled to negotiate with local cable systems for carriage of their signal pursuant to retransmission consent agreements in lieu of asserting must carry rights. This system is therefore referred to as “Must-Carry and Retransmission Consent.” Under Section 615 of the Communications Act, noncommercial educational (NCE) stations are also entitled to assert mandatory carriage rights on cable systems located within the station’s market; however, noncommercial TV broadcast stations are not entitled to retransmission consent.

- 3060-0844
202305-3235-011 Form F-3 Registration Statement SEC 2023-06-02 2023-07-07 Approved without change Active
Revision of a currently approved collection
Form F-3 Registration Statement

Key Information

Previous ICR

202303-3235-015

Federal Register Notices

60-Day FRN

Authorizing Statutes

15 USC 77s(a), 77z-3
15 USC 78c(b), 78l, 78m, 78o(d)
15 USC 78w(a), 78mm
15 USC 77c, 77f, 77g, 77h, 77j

Abstract

Form F-3 under the Securities Act of 1933 is the short form registration statement used by foreign private issuers to register offerings of their securities.

- 3235-0256
202306-0960-004 Medical Report with Allegation of Human Immunodeficiency Virus (HIV) Infection--Adult and Child SSA 2023-06-30 2023-07-10 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Medical Report with Allegation of Human Immunodeficiency Virus (HIV) Infection--Adult and Child

Key Information

Previous ICR

202204-0960-008

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 1383

Abstract

SSA uses Forms SSA-4814 and SSA-4815 to collect the information necessary to determine if an individual with human immunodeficiency virus (HIV) infection, who is applying for SSI disability payments, meets the requirements for PD. SSA mails the appropriate paper form to the claimant's medical source to complete and return to SSA. Respondents can complete this collection via the paper forms or telephone interview. When respondents complete these forms via telephone interview, which per our Management Information data, is most often, FO or DDS personnel enter the information from the respondents directly into the form, and document the medical source’s name, title, and date in the signature block. We then fax the form into the electronic case file. If SSA FO staff is unable to make a PD finding based on the information the applicant’s medical source provides, the DDS agency makes a determination at their discretion. The respondents are the medical sources of the applicants for SSI disability payments. We are updating all the fields where we request date on Form SSA-4814 and SSA-4815. We are adding an arrow on the side where the respondent can pull up a calendar and select the date (the respondent can still type in the date in any format they choose). We are also revising the date format from December 2, 2015 to 12/2/2015.

- 0960-0500
202308-0906-002 Optimizing Virtual Care Grant Program Performance Measures HHS/HRSA 2023-08-28 2023-08-29 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Optimizing Virtual Care Grant Program Performance Measures

Key Information

Previous ICR

202307-0906-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 254b

Abstract

The Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC) is requesting Office of Management and Budget (OMB) approval to electronically collect data for Optimizing Virtual Care (OVC) grant recipient activities and performance measures over an approximately 14-month period. In February 2022, HRSA awarded nearly $55 million to 29 HRSA-funded health centers through the OVC grant program to increase health care access and quality for underserved populations through virtual care such as telehealth, remote patient monitoring, digital patient tools, and health information technology platforms. The goal of the OVC grant program is to continue to support innovation that began during the COVID-19 pandemic, when health centers quickly expanded their use of virtual care to maintain access to essential primary care services for underserved communities. HRSA-funded health centers serve special and vulnerable populations facing barriers to virtual care access, such as low digital literacy, low connectivity capabilities, or limited technology access. The 29 grant recipients will serve as a model for how to increase equitable virtual care, generating and refining strategies that can be adapted and scaled across the Health Center Program. The data on grant recipient activities and performance will help HRSA demonstrate, adapt, assess, and disseminate promising practices, strategies, and novel models of virtual care across the nation’s health centers. The grant recipient activities related to implementation of novel models of virtual care, including aggregate data on patients served and the services they received, will be captured via monthly progress reports. A set of health center performance measures will be captured via a biannual measures report and will provide evidence-informed insight into health equity and virtual care. The Health Center Program and supplemental awards to health centers are authorized by Section 330 of the Public Health Service (PHS) Act, as amended (42 U.S.C. 254b). Notably, HRSA is authorized under 42 U.S.C. 254b(d) to make supplemental awards for health centers to “implement evidence-based models for increasing access to high-quality primary care services, which may include models related to… expanding the use of telehealth and technology-enabled collaborative learning and capacity building models .” As per 45 CFR §75.301, HRSA is obligated to collect performance information on its grants “in a way that will help the HHS awarding agency and other non-Federal entities to improve program outcomes, share lessons learned, and spread the adoption of promising practices.” The original version of the information collection instruments submitted to OMB inadvertently included the April 2022 versions of the data collection instruments developed prior to the 60-day public comment period (Biannual 12-Items Measures Progress Report version 3.1 and OVC Grant Recipient MPR template version 3.5b, dated April 5, 2022). Thus, HRSA is now submitting the revised instruments (OVC Biannual Measures Report Template version 6.0 and OVC Grant Recipient MPR version 4.0, dated December 8, 2022), which include minor revisions made in response to grant recipient and OVC project officer feedback.

- 0906-0075
202306-1250-001 U.S. Department of Labor Office of Federal Contract Compliance Programs Recordkeeping Requirements - 29 U.S.C. 793 Section 503 of the Rehabilitation Act of 1973, As Amended DOL/OFCCP 2023-06-13 2023-06-20 Approved without change Active
No material or nonsubstantive change to a currently approved collection
U.S. Department of Labor Office of Federal Contract Compliance Programs Recordkeeping Requirements - 29 U.S.C. 793 Section 503 of the Rehabilitation Act of 1973, As Amended

Key Information

Previous ICR

202302-1250-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

29 USC 793

Abstract

This request is for Office of Management and Budget (OMB) renewal of an existing information collection implementing the recordkeeping requirements of Section 503 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 793. These requirements apply to both supply and service and construction federal contractors and subcontractors who meet the appropriate thresholds. The agency is proposing changes to the Voluntary Self-Identification of Disability form, in an overall effort to increase the response rate on the form. Specifically, OFCCP proposes revising the list of disabilities to reflect the current preferred language for the specific disabilities and to include additional examples.

- 1250-0005
202307-1850-003 Common Core of Data (CCD) School-Level Finance Survey (SLFS) 2022-2024 ED/IES 2023-07-07 2023-07-07 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Common Core of Data (CCD) School-Level Finance Survey (SLFS) 2022-2024

Key Information

Previous ICR

202305-1850-005

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

20 USC 9573

Abstract

NCES annually publishes comprehensive data on the finances of public elementary/secondary schools through the Common Core of Data (CCD). For numerous years, these data have been released at the state level through the National Public Education Financial Survey (NPEFS) (OMB#1850-0067) and at the school district level through the Local Education Agency (School District) Finance Survey (F-33). (OMB# 0607-0700). There is a significant demand for finance data at the school level. Policymakers, researchers, and the public have long voiced concerns about the equitable distribution of school funding within and across school districts. School-level finance data addresses the need for reliable and unbiased measures that can be utilized to compare how resources are distributed among schools within local districts. Education expenditure data are now available at the school level through the School-Level Finance Survey (SLFS). The School-Level Finance Survey (SLFS) data collection is conducted annually by the National Center for Education Statistics (NCES), within the U.S. Department of Education (ED). In November of 2018, the Office of Management and Budget (OMB) approved changes to the SLFS wherein variables have been added to make the SLFS directly analogous to the F-33 Survey and to the Every Student Succeeds Act (ESSA) provisions on reporting expenditures per-pupil at the local education agency (LEA) and school-level. A previous package cleared in October 2021 approved data collection for FY 2021, 2022, and 2023 (OMB# 1850-0930 v.3). This request includes considerable modifications to the previous package, and will allow NCES to conduct in 2023 through 2025 the SLFS for fiscal years 2022 through 2024 (corresponding to school years 2021/22 through 2023/24) and to continue the collection of data that is analogous to the current ESSA expenditures per pupil provision. As an important new addition that is part of this request, the Department’s Office of Civil Rights (OCR) proposes to engage NCES to assist OCR with collecting school level finance data as part of the Civil Rights Data Collection (CRDC). Pursuant to its authority under the Department of Education Organization Act (DEOA), as well as its regulations, OCR has determined that the CRDC is necessary to ascertain or ensure compliance with the civil rights laws within its jurisdiction, and therefore established it as a mandatory collection. Parts A and B of this submission present the justification for the information collection and an explanation of the statistical methods employed. Part C describes the SLFS instrument, Appendix A provides the SEA communication materials that will be used to conduct the SLFS data collection, Appendix B provides the SLFS data collection form and instructions, and Appendix C provides the survey of SEA’s school-level finances fiscal data plan.

- 1850-0930
202308-0915-001 Ryan White HIV/AIDS Program Allocation Forms HHS/HSA 2023-08-01 2023-08-03 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Ryan White HIV/AIDS Program Allocation Forms

Key Information

Previous ICR

202302-0915-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 111 - 87 0

Abstract

HRSA’s HIV/AIDS Bureau (HAB) administers the Ryan White HIV/AIDS Program (RWHAP) authorized under Title XXVI of the Public Health Service Act. The RWHAP Allocations and Expenditures Reports (A&E Reports) allow HRSA HAB to monitor and track the use of grant funds for compliance with program and grants policies, and requirements as outlined in the legislation. To avoid duplication and reduce recipient reporting burden, HRSA HAB created an electronic grantee contract management system (GCMS) that includes data required for various reports, including the Allocations Reports and other HRSA HAB data reports, such as the RWHAP Services Report (RSR). Recipients can access GCMS year-round to upload or manually enter data on their service provider contractors or subrecipients, the RWHAP core medical and support services provided, and their funding amounts. Data required for Allocations Reports and other reports are automatically prepopulated from GCMS. This package only includes the Allocations Report. The Expenditure Report will be sent for OMB approval in a separate Information Collection Request package.

- 0915-0318
202502-1293-001 Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference DOL/ASVET 2025-02-10 2025-05-09 Approved with change Active
No material or nonsubstantive change to a currently approved collection
Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference

Key Information

Previous ICR

202302-1293-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

38 USC 4301
Pub.L. 110 - 389 312
5 USC 3330a

Abstract

Title 38 U.S.C. Section 4322 of USERRA authorizes the Secretary of Labor (through the Veterans' Employment and Training Service) to investigate claims by individuals who believe their USERRA rights have been violated. The information is used to determine eligibility of veterans complaints to reemployment rights they are seeking as well as to state alleged violations by employers of the pertinent statutes and request assistance in obtaining appropriate reemployment benefits. The Veterans Employment Opportunities Act (VEOA) of 1998, P.L. 105-339, 112 Stat. 3182, contained in Title 5 U.S.C. § 3330a-3330(b), provides assistance to preference eligible individuals who believe their rights under the veterans' preference (VP) laws and the Veterans Benefit Improvement Act of 2008 (Public Law No: 110-389) have been violated. Section 3 of the VEOA provides the Secretary of Labor similar authority to investigate complaints brought by preference eligibles. The collection instrument completed by claimants contains the information required and needed for the Department to determine initial eligibility of the claimant.

1293-0002
202309-2503-001 Ginnie Mae Mortgage-Backed Securities Programs HUD/GNMA 2023-09-20 2023-09-26 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Ginnie Mae Mortgage-Backed Securities Programs

Key Information

Previous ICR

202206-2503-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

12 USC 1716 Title III

Abstract

The information collected is needed by Ginnie Mae for the participation of issuers/customers in its Mortgage-Backed Securities programs and to monitor performance and compliance with established rules and regulations.

- 2503-0033
202503-0960-007 Protection and Advocacy for Beneficiaries of Social Security (PABSS) SSA 2025-03-18 2025-03-26 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Protection and Advocacy for Beneficiaries of Social Security (PABSS)

Key Information

Previous ICR

201908-0960-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 1320b-21
Pub.L. 106 - 170 122
Pub.L. 108 - 203 404 & 407

Abstract

The PABSS projects are part of Social Security’s strategy to increase the number of Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) recipients who return to work and achieve financial independence and self-sufficiency as the result of receiving support, representation, advocacy, or other services. PABSS provides information and advice about obtaining vocational rehabilitation and employment services; and provides advocacy or other services a beneficiary with a disability may need to secure, maintain, or regain employment. The National Disability Rights Network (NDRN) is a membership organization that holds a contract with Social Security to provide training and technical support to the PABSS grantees. As part of that contract, NDRN maintains a secure, proprietary internet database that grantees use to submit an annual report reflecting services they provide under PABSS funding. Only the PABSS grantees and the contractor have access to the database. The contractor generates each grantee’s report annually, and sends each report, as well as an aggregate report including the total of all services PABSS grantees provide nationally, to the Social Security Contract Officer and to the Contract Officer’s Representative The PABSS Annual Program Performance Report collects statistical information from each of the PABSS projects in an effort to manage and capture program performance and quantitative data. Social Security uses the information to evaluate the efficiency of the program, and to ensure beneficiaries are receiving quality services. The project data is valuable to Social Security in its analysis of and future planning for the SSDI and SSI programs. The respondents are the 57 PABSS project sites, and recipients of SSDI and SSI programs. We are submitting this Change Request to make minor revisions to the SSA-4570 in compliance with E.O. 14151, Ending Radical and Wasteful Government DEI Programs and Preferencing.

0960-0768
202504-0920-004 [NCBDDD] Birth Defects Study to Evaluate Pregnancy exposureS (BD-STEPS) HHS/CDC 2025-05-01 2025-05-09 Approved without change Active
No material or nonsubstantive change to a currently approved collection
[NCBDDD] Birth Defects Study to Evaluate Pregnancy exposureS (BD-STEPS)

Key Information

Previous ICR

202405-0920-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 105 - 168 1
42 USC 247b-4

Abstract

The purpose of the Birth Defects Study To Evaluate Pregnancy exposureS (BD-STEPS) is to evaluate factors associated with the occurrence of birth defects and stillbirths and ultimately to work to prevent major birth defects and stillbirths associated with maternal risk factors. Data from BD-STEPS and the National Birth Defects Prevention Study (NBDPS) will play an important part in the decision-making process that determines federal research agendas, birth defect prevention activities, and the direction of funding programs such as cooperative agreements. This Non-Substantive Change Request is submitted to modify (BD-STEPS) Computer-Assisted Telephone Interview to align with issued EO [14168]. There is no change to the approved burden.

0920-0010
202504-0920-008 [NCBDDD] The Study to Explore Early Development (SEED) Follow-up Study HHS/CDC 2025-05-05 2025-05-09 Approved without change Active
No material or nonsubstantive change to a currently approved collection
[NCBDDD] The Study to Explore Early Development (SEED) Follow-up Study

Key Information

Previous ICR

202306-0920-008

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 247b-4
42 USC 241(a)
Pub.L. 106 - 310 101
Pub.L. 109 - 416 409C
Pub.L. 113 - 157 1
Pub.L. 116 - 60 1-2

Abstract

This project will be utilized to gain knowledge about the expression of autism spectrum disorder (ASD) from childhood through early adulthood that can inform efforts to improve the health and functioning of individuals with ASD as they mature. The SEED Follow-up Study will collect information from families through surveys on the health and functioning of individuals during childhood, adolescence, and young adulthood, and in-person assessments of cognitive abilities. Data obtained through this information collection may improve our understanding of which co-occurring conditions are most prevalent; increase our understanding of the needs of individuals with ASD; how the needs change with age and can be best met at different points in development; and inform research and public health policies on eligibility for services and public health outreach efforts, that could provide opportunities for education, employment, and social connection to improve the health, functioning, and quality of life among persons with ASD and their families. This CR adds Spanish versions for several of the instruments.

0920-1392
202312-1405-003 Medical History and Examination STATE/AFA 2023-12-17 2024-01-23 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Medical History and Examination

Key Information

Previous ICR

202307-1405-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 110 - 233 122

Abstract

The documents are necessary to the Foreign Service Act of 1980, as amended (22 U.S.C. 4084, 3901, 3984). They are used to document results of the Foreign Service Medical History and Examination for preemployment decisions. Every person who has been given a conditional offer of employment for Foreign Service with the Department of State (DOS) must be healthy and able to travel to post of assignment worldwide. Those who are not able to travel and serve world wide are not hired. Without these forms, DOS would not have a consistent and fair means to document that each new employee meets the medial criteria for world wide employment in the Foreign Service and family health care needs be met at overseas posts.

- 1405-0068
202312-1625-001 Official Logbook DHS/USCG 2024-01-16 2024-10-18 Approved without change Active
Extension without change of a currently approved collection
Official Logbook

Key Information

Previous ICR

202108-1625-004

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

46 USC 11301
46 USC 11302
46 USC 11303
46 USC 11304
Pub.L. 111 - 281 607

Abstract

Official Logbooks identify particulars of the voyage of a vessel, including the vessel's name, official number, port of registry, tonnage, name of the master and crew, nature of the voyage, vessel's draft, drills and inspections, and maintenance of watertight integrity. Logbooks are used by the Coast Guard and shipping companies. 46 U.S.C. 11301, 11302, 11303, and 11304 are the authorities for this collection.

- 1625-0018
202401-0915-002 Countermeasures Injury Compensation Program (CICP) HHS/HSA 2024-01-09 2024-01-10 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Countermeasures Injury Compensation Program (CICP)

Key Information

Previous ICR

202303-0915-005

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 247d-6d

Abstract

The Countermeasures Injury Compensation Program (CICP) provides compensation to eligible individuals (requesters) seriously injured by a covered countermeasure administered or used pursuant to a Public Readiness and Emergency Preparedness Act of 2005 (PREP Act) Declaration, or to their estates and/or survivors. The CICP requires the Request for Benefits Package to determine whether a requester is eligible for Program benefits (compensation) for their injury and if applicable, to calculate the amount of program benefits a requester is eligible to receive. The Request for Benefits Package includes the Request for Benefits Form and Authorization for Use or Disclosure of Health Information Form(s), as well as the injured countermeasure recipient’s medical records and supporting documentation. A requester who is an injured countermeasure recipient, the requester’s legal representative, or the estate or survivor(s) of an injured countermeasure recipient is responsible for submitting the Request for Benefits Package, as well as the injured countermeasure recipient’s medical records and supporting documentation.

- 0915-0334
202501-3235-026 Rule 19b-4 Filings with Respect to Securities-Based Swap Submissions, Advance Notices and Proposed Rule Changes by Self-Regulatory Organizations and the Security-Based Swap Stay of Clearing Requiremen SEC 2025-06-12 2025-07-29 Approved without change Active
Revision of a currently approved collection
Rule 19b-4 Filings with Respect to Securities-Based Swap Submissions, Advance Notices and Proposed Rule Changes by Self-Regulatory Organizations and the Security-Based Swap Stay of Clearing Requiremen

Key Information

Previous ICR

202304-3235-017

Federal Register Notices

60-Day FRN

Authorizing Statutes

15 USC 78s(b)
15 USC 78c-3(b)(2)
15 USC 78c-3(b)(5)
15 USC 78s(b)(1)
12 USC 5465
15 USC 78c-3(c)(1)
15 USC 78c-3(c)(4)

Abstract

Rule 19b-4, 17 CFR 240.19b-4, requires each self-regulatory organization to file with the Commission on Form 19b-4 any proposed rule, or any proposed change in, addition to, or deletion from the rules of such SRO. The rule is designed to allow the Commission to review proposed rule changes and to solicit public comment on whether they should be approved or disapproved. 2025 AMENDMENT: The Commission recently adopted amendments to the rule and form related to signature requirements. However, the amendments do not change the estimated burden of the collection of information. The amended Rule 19b-4(j) will no longer require that the signatory to an electronically submitted Form 19b-4 manually sign a signature page or other document authenticating, acknowledging, or otherwise adopting his or her signature that appears in typed form within the electronic filing, execute that document before or at the time the rule filing is electronically submitted, and retain that document for its records in accordance with Rule 17a-1. The amended Form 19b-4 and the instructions to Form 19b-4 will no longer require that a duly authorized officer of the SRO manually sign one copy of the completed Form 19b-4 and that the manually signed signature page be maintained pursuant to section 17 of the Exchange Act.

- 3235-0045
202504-3235-011 Form F-1 - Registration Statement SEC 2025-04-17 2025-05-21 Comment filed on proposed rule and continue Historical Inactive
Revision of a currently approved collection
Form F-1 - Registration Statement

Key Information

Previous ICR

202305-3235-012

Federal Register Notices

60-Day FRN

Authorizing Statutes

15 USC 77f
15 USC 77g
15 USC 77j
15 USC 77s(a)
15 USC 77z-3
15 USC 78c
15 USC 78l
15 USC 78m
15 USC 78n
15 USC 78o
15 USC 78w(a)
15 USC 78mm
15 USC 80a-6(c)
15 USC 80a-37

Abstract

Form F-1 is used by certain foreign private issuers to register securities pursuant to the Securities Act of 1933.

- 3235-0258
202403-0412-001 Partner Information Form (PIF) AID 2024-03-15 2024-04-10 Approved with change Active
No material or nonsubstantive change to a currently approved collection
Partner Information Form (PIF)

Key Information

Previous ICR

202301-0412-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

18 USC 2339 A, B, and C
Pub.L. 115 - 141 7034(e)

Abstract

USAID utilizes the Partner Information Form (AID 500-13, or PIF) in conjunction with the Partner Vetting System (PVS), its information technology (IT) system of records, to collect and maintain records for vetting purposes to help ensure that USAID funds, USAID-funded activities, or other resources will not be used to provide support to entities or individuals deemed to be a risk to national security. The PIF is completed by organizations, entities, or individuals applying for USAID contracts, grants, or other funding. In addition to collecting data on entities applying for funding and the type and purpose of the award, USAID utilizes the PIF to collect data on key individuals of prospective awardees and subawardees. Information collected on such key individuals includes the following: name; other names used; date and place of birth; gender; citizenship(s); country of issuance; address; phone number(s); email address(es); current employer and project title; organizational rank or title; occupation; and professional licenses and certifications.

- 0412-0577
202406-0960-005 Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance SSA 2024-06-27 2024-07-22 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance

Key Information

Previous ICR

202005-0960-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 402

Abstract

SSA uses the information collected on Forms SSA-1372-BK and SSA-1372-BK-FC to determine whether children of an insured worker are eligible for student benefits. The data allows SSA to determine student entitlement and whether entitlement will end. The respondents are student claimants for Social Security benefits, their respective schools and, in some cases, their representative payees. We are making non-substantive changes to change the font of the form to meet the agency’s accessibility standards.

- 0960-0105
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