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 15485 results

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Title
Reference Number
OMB Control Number
Agency
Received
Concluded
Action
Status
Request Type
Presidential Action

Title:

Request for Withdrawal of Application

Reference Number:

Omb Control Number:

0960-0015

Agency:

SSA

Received:

2021-09-09

Concluded:

2023-06-22

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Request for Withdrawal of Application

Key Information

Abstract

SSA employees collect Form SSA-521, which documents the information SSA needs to process the withdrawal of an application for benefits. Form SSA-521 is our preferred instrument for a withdrawal request; however, any written request for withdrawal signed by the claimant or a proper applicant on the claimant’s behalf will suffice. Each time an individual wishes to withdraw an application for benefits, he or she completes and signs Form SSA-521. Typically, respondents complete the form themselves and will not need information from someone else to complete the form. SSA uses the information from the SSA-521 to process the request for withdrawal. The respondents are beneficiaries or applicants for Retirement, Survivors, Disability, and Health Insurance benefits.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 405

Presidential Action:

-

Title:

Request for Business Entity Taxpayer Information

Reference Number:

Omb Control Number:

0960-0731

Agency:

SSA

Received:

2021-09-09

Concluded:

2022-07-29

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Request for Business Entity Taxpayer Information

Key Information

Abstract

The SSA uses Form SSA-1694 to collect information from law firms or other business entities that have partners or employees to whom SSA pays fees that SSA has authorized as compensation for the representation of claimants before SSA. SSA uses the information to meet Form 1099-MISC requirements for issuance. The respondents are law firms or other business entities with partners or employees who are attorneys or other qualified individuals who represent claimants before SSA.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 406
42 USC 1383

Presidential Action:

-

Title:

Pre-Claim Review Demonstration for Inpatient Rehabilitation Facility Services (CMS-10765)

Reference Number:

Omb Control Number:

0938-1420

Agency:

HHS/CMS

Received:

2021-09-08

Concluded:

2022-03-18

Action:

Approved without change

Status:

Historical Active

Request Type:

New collection (Request for a new OMB Control Number)
Pre-Claim Review Demonstration for Inpatient Rehabilitation Facility Services (CMS-10765)

Key Information

Abstract

The Centers for Medicare & Medicaid Services (CMS) is requesting the Office of Management and Budget (OMB) approval for the Review Choice Demonstration for Inpatient Rehabilitation Facility (IRF) Services. This demonstration will assist in developing improved procedures for the identification, investigation, and prosecution of potential Medicare fraud. By ensuring that payments for IRF services are appropriate through either pre-claim or postpayment review, this demonstration also works toward the prevention and identification of potential fraud, waste, and abuse, as well as protecting the Medicare Trust Funds from improper payments while reducing Medicare appeals. CMS proposes performing the demonstration in Alabama, Pennsylvania, Texas, and California, as well as IRFs in any state that bill to the Medicare Administrative Contractor (MAC) jurisdictions JJ, JL, JH, and JE.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 602

Presidential Action:

-

Title:

National Geological and Geophysical Data Preservation Program (NGGDPP)

Reference Number:

Omb Control Number:

1028-0087

Agency:

DOI/GS

Received:

2021-09-08

Concluded:

2022-12-22

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
National Geological and Geophysical Data Preservation Program (NGGDPP)

Key Information

Abstract

The USGS NGGDPP offers financial support to State geological agencies to create metadata that will describe sample sites for State geological surveys that have related site-specific data resources. The purpose of these data collections are to preserve and provide access to samples (and any related data) that have been extracted from the earth to improve the breadth of information that can be used to inform science and decision-making now and in the future. The USGS envisions a national network of cooperating geoscience materials and data repositories that are operated independently yet guided by common standards, procedures, and protocols for metadata. The holdings of all collections will be widely accessible through a common and mirrored Internet-based catalog, the National Digital Catalog. The holdings of the individual repositories will complement each other to preserve the geoscience assets of the Nation and serve as a comprehensive source of geoscience data and materials to serve national needs today and in the future.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 15801

Presidential Action:

-

Title:

Indian Business Incubator Program (IBIP), 25 CFR 1187

Reference Number:

Omb Control Number:

1076-0199

Agency:

DOI/BIA

Received:

2021-09-08

Concluded:

2022-01-10

Action:

Approved with change

Status:

Active

Request Type:

New collection (Request for a new OMB Control Number)
Indian Business Incubator Program (IBIP), 25 CFR 1187

Key Information

Abstract

This information collection is for the Office of Indian Economic Development (OIED), under the Office of the Assistant Secretary – Indian Affairs, to solicit and award grants to eligible business incubators who will provide services to Native American entrepreneurs in Tribal reservation communities.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 116 - 174 1-8

Presidential Action:

-

Title:

Hydrography Maintenance Portal (HMP)

Reference Number:

Omb Control Number:

1028-0143

Agency:

DOI/GS

Received:

2021-09-08

Concluded:

2024-04-16

Action:

Approved without change

Status:

Active

Request Type:

Existing collection in use without an OMB Control Number
Hydrography Maintenance Portal (HMP)

Key Information

Abstract

The Hydrography Maintenance Portal (HMP) is a website used by editors to ‘check out’ hydrography data from the National Hydrography Dataset (NHD). Editors can update the checked out data using a geographic information system (GIS), and subsequently check the data back into the official version of the NHD managed at the USGS after editing.

Federal Register Notices

60-Day FRN
30-Day FRN

Presidential Action:

-

Title:

Application for Allowance in Duties

Reference Number:

Omb Control Number:

1651-0007

Agency:

DHS/USCBP

Received:

2021-09-08

Concluded:

2022-05-12

Action:

Approved with change

Status:

Historical Active

Request Type:

Extension without change of a currently approved collection
Application for Allowance in Duties

Key Information

Abstract

This information collection is required by CBP in instances of claims of damaged or defective merchandise on which an allowance in duty is made in the liquidation of an entry. This information is used to substantiate importer's claims for such duty allowances.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

19 USC 1506

Presidential Action:

-

Title:

Desert Land Entry Application (43 CFR Part 2520)

Reference Number:

Omb Control Number:

1004-0004

Agency:

DOI/BLM

Received:

2021-09-07

Concluded:

2022-04-22

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Desert Land Entry Application (43 CFR Part 2520)

Key Information

Abstract

The information collected by Form 2520-1, Desert Land Entry Application is used to determine if an individual is eligible to make a desert land entry to reclaim, irrigate, and cultivate semiarid public lands administered by the Bureau of Land Management (BLM) in the western United States. This request is for OMB to renew this OMB control number for an additional three years.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

43 USC 321-329

Presidential Action:

-

Title:

Color-of-Title Application (43 CFR Subparts 2540 and 2541)

Reference Number:

Omb Control Number:

1004-0029

Agency:

DOI/BLM

Received:

2021-09-07

Concluded:

2022-04-22

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Color-of-Title Application (43 CFR Subparts 2540 and 2541)

Key Information

Abstract

The Bureau of Land Management (BLM) collects and uses the information to determine the validity of a claim under the Color-of-Title Act. The following forms comprise an application in support of a Color-of-Title claim: (a) 2540-1, Color-of-Title Application; (b) 2540-2, Conveyances Affecting Color or Claim of Title; and (c) 2540-3, Color-of-Title Tax Levy and Payment Record. A respondent must submit all of the forms concurrently, or the BLM will reject a claim as insufficient. This request is for OMB to renew for this OMB control number for an additional three years.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

43 USC 1068, 1068a, 1068b

Presidential Action:

-

Title:

Clean Watersheds Needs Survey (CWNS) (Reinstatement)

Reference Number:

Omb Control Number:

2040-0050

Agency:

EPA/OW

Received:

2021-09-07

Concluded:

2021-10-15

Action:

Approved without change

Status:

Active

Request Type:

Reinstatement without change of a previously approved collection
Clean Watersheds Needs Survey (CWNS) (Reinstatement)

Key Information

Abstract

The Clean Watersheds Needs Survey (CWNS) is required by Clean Water Act (CWA) Sections 205(a) and 516. It is a periodic inventory of existing and planned publicly owned wastewater conveyance and treatment facilities, combined sewer overflow correction, stormwater management and other water pollution control facilities in the United States, as well as an estimate of how many of these facilities need to be built. The CWNS is a joint effort between EPA and the states. The CWNS collects cost and technical data from states that are associated with publicly owned treatment works and other water pollution control facilities, existing and planned. The respondents who provide this information to Environmental Protection Agency (EPA or Agency) are state agencies responsible for environmental pollution control and local facility contacts who provide documentation to the states. Periodically, the states request data or documentation from contacts at the facility or local government level. These respondents are referred to as facilities. No confidential information is used, nor is sensitive information protected from release under the Public Information Act. EPA achieves national consistency in the final results through the application of uniform guidelines and validation techniques.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 33 - 1 205
Pub.L. 33 - 2 516

Presidential Action:

-

Title:

National Science Foundation Research Infrastructure Guide

Reference Number:

Omb Control Number:

3145-0239

Agency:

NSF

Received:

2021-09-07

Concluded:

2021-12-01

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
National Science Foundation Research Infrastructure Guide

Key Information

Abstract

This manual provides guidance, policies, requirements, and recommended procedures and best practices to NSF staff and award recipients on effective project planning, management, and oversight of large facilities.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 1861 et seq.

Presidential Action:

-

Title:

NSPS for Petroleum Refineries (40 CFR Part 60, Subpart J) (Renewal)

Reference Number:

Omb Control Number:

2060-0022

Agency:

EPA/OAR

Received:

2021-09-07

Concluded:

2021-12-08

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
NSPS for Petroleum Refineries (40 CFR Part 60, Subpart J) (Renewal)

Key Information

Abstract

The New Source Performance Standards (NSPS) for Petroleum Refineries were proposed on June 11, 1973, promulgated on March 8, 1974, and amended on both September 12, 2012 and December 1, 2015. The 2015 amendment finalized technical clarifications to improve consistency and clarity and to address issues related to a 2008 industry petition for reconsideration. The 2012 amendment allowed the option for affected sources to comply with Subpart J by following the applicable provisions in the NSPS Subpart Ja rule. The affected sources are: 1) fluid catalytic cracking unit (FCCU) catalyst regenerator or fuel gas combustion device (FGCD) other than a flare that commenced construction, reconstruction or modification after June 11, 1973 and on/or before May 14, 2007; 2) FGCD that is also a flare that commenced construction, reconstruction or modification after June 11, 1973 and on/or before June 24, 2008; or 3) any Claus sulfur recovery plant with a design capacity of more than 20 long tons per day sulfur feed which commenced construction, reconstruction or modification after October 4, 1976 and on/or before May 14, 2007. In general, all NSPS standards require initial notifications, performance tests, and periodic reports by the owners/operators of the affected facilities. They are also required to maintain records of the occurrence and duration of any startup, shutdown, or malfunction in the operation of an affected facility, or any period during which the monitoring system is inoperative. These notifications, reports, and records are essential in determining compliance with 40 CFR Part 60, Subpart J.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 7401 et seq.

Presidential Action:

-

Title:

30 CFR 254, Oil-Spill Response Requirements for Facilities Located Seaward of the Coast Line

Reference Number:

Omb Control Number:

1014-0007

Agency:

DOI/BSEE

Received:

2021-09-07

Concluded:

2022-07-26

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
30 CFR 254, Oil-Spill Response Requirements for Facilities Located Seaward of the Coast Line

Key Information

Abstract

BSEE requires the information to ensure compliance with the Oil Pollution Act of 1990 (OPA). BSEE uses the information to determine effectiveness of spill-response capability; to verify that State plans meet the minimum OPA requirements; to verify OSR training of personnel; to assess availability and quantities of contractor equipment; to oversee spill-response efforts; to assess efforts to prevent oil spills or substantial threats of such discharges, etc. Respondents are primarily owners or operators of facilities located in both State and Federal waters seaward of the coast line.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

33 USC 2702
33 USC 1321

Presidential Action:

-

Title:

Function Report - Adult

Reference Number:

Omb Control Number:

0960-0681

Agency:

SSA

Received:

2021-09-03

Concluded:

2023-09-29

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Function Report - Adult

Key Information

Abstract

Individuals receiving or applying for SSDI or SSI must provide medical evidence and other proof SSA requires to prove their disability. SSA staff, and, on our behalf, State Disability Determination Services’ (DDS) employees, collect the information via paper Form SSA-3373, or through an in-person or telephone interview for cases where we need information about a claimant’s activities and abilities to evaluate the claimant’s disability. We use the information to document how claimants’ disabilities affect their ability to function, and to determine eligibility, or continued eligibility, for SSI and SSDI claims. The respondents are adult Title II and Title XVI claimants, or current recipients undergoing redeterminations of benefits.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 1383
42 USC 405
42 USC 423

Presidential Action:

-

Title:

Request for Workers' Compensation/Public Disability Benefit Information

Reference Number:

Omb Control Number:

0960-0098

Agency:

SSA

Received:

2021-09-03

Concluded:

2024-08-12

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Request for Workers' Compensation/Public Disability Benefit Information

Key Information

Abstract

Claimants for Social Security disability payments who are also receiving WC/PDB must notify SSA about their WC/PDB, so the agency can consider a possible offset to reduce their Social Security disability payments accordingly. If claimants provide necessary evidence, such as a copy of their award notice, benefit check, etc. that is sufficient verification. In cases where claimants cannot provide such evidence, SSA uses Form SSA-1709 to obtain WC/PDB payment evidence. The entity paying the WC/PDB benefits, its agent (such as insurance carrier), or an administrating public agency completes this form. The respondents are Federal, State, and local agencies; insurance carriers; and public or private self-insured companies administering WC/PDB benefits to disability claimants.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 424a

Presidential Action:

-

Title:

Statement of Care and Responsibility for Beneficiary

Reference Number:

Omb Control Number:

0960-0109

Agency:

SSA

Received:

2021-09-03

Concluded:

2024-08-12

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Statement of Care and Responsibility for Beneficiary

Key Information

Abstract

SSA uses the information from Form SSA-788 to verify payee applicants' statements of concern and to identify other potential payees. SSA is concerned with selecting the most qualified representative payee who will use Social Security benefits in the beneficiary's best interest. SSA considers factors such as the payee applicant's capacity to perform payee duties, awareness of the beneficiary's situation and needs, demonstration of past and current concern for the beneficiary's well-being, etc. If the payee applicant does not have custody of the beneficiary, SSA will obtain information from the custodian for evaluation against information provided by the applicant. Respondents are individuals who have custody of the beneficiary in cases where someone else has filed to be the beneficiary's representative payee. Form SSA-788 is an agency generated form, which SSA completes the top portion of Form SSA-788, sends to the custodians of the beneficiaries, and they complete the rest of the form and gives back to us.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 405
42 USC 1383
42 USC 1007

Presidential Action:

-

Title:

Certification of Vaccination Common Form

Reference Number:

Omb Control Number:

3206-0277

Agency:

FTC

Received:

2021-09-01

Concluded:

2021-09-02

Action:

Approved without change

Status:

Active

Request Type:

RCF New
Certification of Vaccination Common Form

Key Information

Presidential Action:

-

Title:

Certification of Vaccination Status

Reference Number:

Omb Control Number:

3206-0277

Agency:

FERC

Received:

2021-09-01

Concluded:

2021-09-02

Action:

Approved without change

Status:

Active

Request Type:

RCF New
Certification of Vaccination Status

Key Information

Presidential Action:

-

Title:

Initial and Renewal Model of Care Submissions, and Off-cycle Submission of Summaries of Model of Care Changes (CMS-10565)

Reference Number:

Omb Control Number:

0938-1296

Agency:

HHS/CMS

Received:

2021-08-31

Concluded:

2022-02-03

Action:

Approved without change

Status:

Historical Active

Request Type:

Revision of a currently approved collection
Initial and Renewal Model of Care Submissions, and Off-cycle Submission of Summaries of Model of Care Changes (CMS-10565)

Key Information

Abstract

Medicare Advantage (MA) Special Needs Plans (SNPs) are required to submit Models of Care (MOCs) as a component of the MA application process. The Affordable Care Act (ACA) requires that all SNPs be approved by the National Committee for Quality Assurance (NCQA). This approval is based on NCQA’s evaluation of SNPs using MOC scoring guidelines developed by CMS and NCQA for the Secretary of the Department of Health and Human Services (DHHS). The MOC elements cover the following areas: MOC 1- Description of the SNP Population; MOC 2 - Care Coordination; MOC 3 - Provider Network; and MOC 4 - Quality Measurement & Performance Improvement. SNPs submit a MOC at time of their initial application and based on their scores, SNPs receive an approval for a period of 1, 2 or 3 years. After the approval period expires, SNPs are required to submit an updated MOC for review for their renewal process. CMS is also developing a MOC off-cycle revision process so that SNPs can revise the MOC to modify its processes and strategies for providing care during their MOC approval period. CMS will require that SNPs submit summaries of their MOC revisions to CMS for NCQA evaluation when a SNP makes significant changes to its MOC during the approval period. NCQA will review the summary of changes to verify that the revisions are consistent with the acceptable, high quality standards as included in the original approved MOC. CMS will begin collecting MOCs mid-January 2016 to coincide with the MA Application collection.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 111 - 148 3205(e)
Pub.L. 111 - 148 1859 (b)(6)(B)(iii)

Presidential Action:

-

Title:

National Science Foundation Certification of Vaccination - Contractors and Visitors

Reference Number:

Omb Control Number:

3206-0277

Agency:

NSF

Received:

2021-08-31

Concluded:

2021-08-31

Action:

Approved without change

Status:

Active

Request Type:

RCF New
National Science Foundation Certification of Vaccination - Contractors and Visitors

Key Information

Presidential Action:

-

Title:

Federal Implementation Plans under the Clean Air Act for Indian Reservations in Idaho, Oregon, and Washington (40 CFR Part 49, Subpart M) (Renewal)

Reference Number:

Omb Control Number:

2060-0558

Agency:

EPA/OAR

Received:

2021-08-31

Concluded:

2024-11-20

Action:

Approved with change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Federal Implementation Plans under the Clean Air Act for Indian Reservations in Idaho, Oregon, and Washington (40 CFR Part 49, Subpart M) (Renewal)

Key Information

Abstract

In 2005, the U.S. Environmental Protection Agency (EPA) promulgated Federal Implementation Plans (FIPs) under the Clean Air Act (CAA or the Act) for Indian reservations located in Idaho, Oregon and Washington. The FIPs include basic air quality regulations to protect health and welfare on Indian reservations located in the Pacific Northwest. These rules are implemented by EPA and delegated to Tribes. The Office of Management and Budget (OMB) approved an Information Collection Request (ICR) titled Federal Implementation Plans Under the Clean Air Act for Indian Reservations in Idaho, Oregon and Washington, on November 16, 2004, and approved renewals on May 23, 2008, August 3, 2011, March 16, 2015, and August 31, 2018. This ICR is a renewal of the August 2018 ICR and presents updated burden estimates for respondents to comply with various FIP provisions required by 40 CFR Part 49, Subpart M Implementation Plans for Tribes in Region 10.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 7401 to 7671

Presidential Action:

-

Title:

DOI Certification of Vaccination Attestation Common Form (Contractors and Visitors)

Reference Number:

Omb Control Number:

3206-0277

Agency:

DOI/OS

Received:

2021-08-31

Concluded:

2021-08-31

Action:

Approved without change

Status:

Active

Request Type:

RCF New
DOI Certification of Vaccination Attestation Common Form (Contractors and Visitors)

Key Information

Presidential Action:

-

Title:

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Reference Number:

Omb Control Number:

1910-5160

Agency:

DOE/DOEOA

Received:

2021-08-31

Concluded:

2023-02-09

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Key Information

Abstract

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

Federal Register Notices

60-Day FRN
30-Day FRN

Presidential Action:

-

Title:

COPS Progress Report

Reference Number:

Omb Control Number:

1103-0102

Agency:

DOJ/DOJADM

Received:

2021-08-31

Concluded:

2023-01-03

Action:

Approved without change

Status:

Historical Active

Request Type:

Revision of a currently approved collection
COPS Progress Report

Key Information

Abstract

Under the Violent Crime and Control Act of 1994, the U.S. Department of Justice COPS Office requires programmatic progress reports from active COPS grantees in order to monitor each program, project or activity funded by the COPS Office.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 103 - 322 10003

Presidential Action:

-

Title:

Certification of Vaccination

Reference Number:

Omb Control Number:

3206-0277

Agency:

NARA

Received:

2021-08-31

Concluded:

2021-08-31

Action:

Approved without change

Status:

Active

Request Type:

RCF New
Certification of Vaccination

Key Information

Presidential Action:

-
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