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.

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

Title:

Information Requirements for Boilers and Industrial Furnaces (Renewal)

Reference Number:

202012-2050-002

Omb Control Number:

2050-0073

Agency:

EPA/OLEM

Received:

2020-12-31

Concluded:

2022-01-25

Action:

Approved with change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Information Requirements for Boilers and Industrial Furnaces (Renewal)

Key Information

Abstract

EPA regulates the burning of hazardous waste in boilers, incinerators, and industrial furnaces (BIFs) under 40 CFR parts 63, 264, 265, 266 and 270. This ICR describes the paperwork requirements that apply to the owners and operators of BIFs. This includes the general facility requirements at 40 CFR parts 264 and 265, subparts B thru H; the requirements applicable to BIF units at 40 CFR part 266; and the RCRA Part B permit application and modification requirements at 40 CFR part 270.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

42 USC 6901-6992k
View Law

Presidential Action:

-

Title:

NAS Data Release Request

Reference Number:

202012-2120-003

Omb Control Number:

2120-0668

Agency:

DOT/FAA

Received:

2020-12-30

Concluded:

2021-11-30

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
NAS Data Release Request

Key Information

Abstract

Any person or entity desiring access to filtered National Airspace System (NAS) data is subject to this information collection. The information collected will be used to evaluate a user's request for filtered NAS data from FAA equipment. The FAA NAS Data Release Board (NDRB) will evaluate this information. The information submitted by the requestor will determine the requestor's eligibility to use FAA NAS data.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

Pub.L. 100 - 235 1
View Law

Presidential Action:

-

Title:

Bonded Warehouse Proprietor's Submission

Reference Number:

202011-1651-005

Omb Control Number:

1651-0033

Agency:

DHS/USCBP

Received:

2020-12-29

Concluded:

2022-10-25

Action:

Approved without change

Status:

Historical Active

Request Type:

Extension without change of a currently approved collection
Bonded Warehouse Proprietor's Submission

Key Information

Abstract

CBP Form 300, The Bonded Warehouse Proprietor's Submission, is prepared annually by each warehouse proprietor, as mandated under 19 CFR 19.12 (g). The information on CBP Form 300 is used by CBP to evaluate warehouse activity for the year. This form must be completed within 45 days from the end of his business year, pursuant to the provisions of the Tariff Act of 1930, as amended, 19 U.S.C. 66, 1311, 1555, 1556, 1557, 1623 and 19 CFR 19.12. The information collected on this form helps CBP determine all bonded merchandise that was entered, released, and manipulated in the warehouse. CBP Form 300 is accessible at https://www.cbp.gov/document/forms/form-300-bonded-warehouse-proprietors-submission. This information is collected from members of the trade community who are familiar with CBP policies and regulations.

Federal Register Notices

60-Day FRN
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30-Day FRN
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Authorizing Statutes

19 USC 1557
View Law
19 USC 1623
View Law
19 USC 66
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19 USC 1555
View Law
19 USC 1556
View Law
19 USC 1311
View Law

Presidential Action:

-

Title:

Create/Update Importer Identity Form

Reference Number:

202011-1651-004

Omb Control Number:

1651-0064

Agency:

DHS/USCBP

Received:

2020-12-29

Concluded:

2022-08-05

Action:

Approved with change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Create/Update Importer Identity Form

Key Information

Abstract

The collection of the information on the “Create/Update Importer Identity Form”, commonly referred to as the “CBP Form 5106” is the basis for establishing bond coverage, release and entry of merchandise, liquidation and the issuance of bills and refunds. Members of the trade community use the Create/Update Importer Identification Form to register an entity as an Importer of Record (IOR) on the Automated Commercial Environment. Registering as IOR with CBP is required if an entity intends to transact Customs business and be involved as an importer, consignee/ultimate consignee, any individual or organization involved as a party, such as 4811 party, or sold to party on an informal or formal entry. The number used to identify an IOR is either an Internal Revenue Service (IRS) Employer Identification Number (EIN), a Social Security Number (SSN), or a CBP-Assigned Number. By collecting, certain information from the importer enables CBP to verify the identity of the importers, meeting IOR regulatory requirements for collecting information. 19 CFR 24.5. Importers, each person, business firm, government agency, or other organization that intends to file an import entry shall file CBP Form 5106 with the first formal entry or request for services that will result in the issuance of a bill or a refund check upon adjustment of a cash collection. This form is also filed for the ultimate consignee for whom an entry is being made. CBP Form 5106 is authorized by 19 U.S.C 1484 and 31 U.S.C. 7701, and provided for by 19 CFR 24.5. The current version of the form is accessible at: https://www.cbp.gov/document/forms/form-5106-importer-id-input-record.

Federal Register Notices

60-Day FRN
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30-Day FRN
View Notice

Authorizing Statutes

19 USC 1484
View Law
31 USC 7701
View Law

Presidential Action:

-

Title:

Alien Claims Activity Report

Reference Number:

202008-1205-002

Omb Control Number:

1205-0268

Agency:

DOL/ETA

Received:

2020-12-23

Concluded:

2022-05-24

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Alien Claims Activity Report

Key Information

Abstract

The USCIS verification system, commonly called the Systematic Alien Verification for Entitlement (SAVE) Program, is currently available to and being utilized by the states. To comply with its responsibilities under the SSA, the Department of Labor (Department) must gather information from state agencies concerning alien claimant activities. The Alien Claimant Activity Report is the only source available for collecting this information. The report allows the Department to determine the number of aliens filing for unemployment insurance (UI), the number of benefit issues detected and the denials resulting from the USCIS SAVE system. From these data, the Department can determine the extent to which state agencies use the system, and the overall effectiveness and cost efficiency of the USCIS SAVE verification system.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

42 USC 303(a)(6)
View Law

Presidential Action:

-

Title:

Federal-Aid Highway Construction Equal Employment Opportunity

Reference Number:

202012-2125-004

Omb Control Number:

2125-0019

Agency:

DOT/FHWA

Received:

2020-12-23

Concluded:

2022-03-09

Action:

Approved with change

Status:

Historical Active

Request Type:

Extension without change of a currently approved collection
Federal-Aid Highway Construction Equal Employment Opportunity

Key Information

Abstract

Under the provision of Title 23 U.S.C. Part 140(a), the Federal Highway Administration (FHWA) is required to ensure equal opportunity in contractorsƒ­ employment practices on federal-aid highway projects. To implement this provision of the law, FHWA regulation, 23 CFR 230, Subpart A requires that contractors submit to State Departments of Transportation (State DOTs) an annual report providing employment workforce data, which includes the number of minorities, women, and non-minority group employees in each construction craft. The information is reported on Form PR-1391, Federal-Aid Highway Construction Contractors Annual EEO Report. The regulation also requires State DOTs to submit an annual report to FHWA summarizing PR-1391 data. This summary is provided on Form PR-1392, Federal-aid Highway Construction, and Summary of Employment Data.

Federal Register Notices

60-Day FRN
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30-Day FRN
View Notice

Authorizing Statutes

23 USC 140
View Law
23 USC 230
View Law

Presidential Action:

-

Title:

NESHAP for Taconite Iron Ore Processing (40 CFR part 63 subpart RRRRR) (Final Rule)

Reference Number:

202007-2060-005

Omb Control Number:

2060-0538

Agency:

EPA/OAR

Received:

2020-12-22

Concluded:

2022-02-23

Action:

Approved without change

Status:

Historical Active

Request Type:

Revision of a currently approved collection
NESHAP for Taconite Iron Ore Processing (40 CFR part 63 subpart RRRRR) (Final Rule)

Key Information

Abstract

The National Emission Standards for Hazardous Air Pollutants (NESHAP) for the regulations published at 40 CFR Part 63, Subpart RRRRR were proposed on December 18, 2002, promulgated on October 30, 2003, and amended on April 20, 2006. These regulations apply to existing facilities and new taconite iron ore processing facilities that emit or have the potential to emit a single hazardous air pollutant (HAP) at a rate of 10 tons or more per year or any combination of HAPs at a rate of 25 tons or more per year. The affected sources are ore crushing and handling operations, ore dryers, indurating furnaces, finished pellet handling emission units, and fugitive dust emissions. New facilities include those that commenced construction or reconstruction after the date of proposal. This information is being collected to assure compliance with 40 CFR Part 63, Subpart RRRRR. The final RTR amendments to the rule eliminate the startup, shutdown, and malfunction (SSM) exemption; remove the SSM plan requirement; add electronic submittal of notifications, semiannual reports, and performance test reports; remove requirements to conduct quarterly internal inspections of baghouses if the baghouse is equipped with a bag leak detection system; reduce from 2 hours to 1 hour the duration of each PM test run; and make technical and editorial changes. The remaining portions of the NESHAP remain unchanged. In general, all NESHAP 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, and are required of all affected facilities subject to NESHAP.

Federal Register Notices

60-Day FRN
View Notice

Authorizing Statutes

42 USC 7401 et.seq.
View Law

Presidential Action:

-

Title:

NESHAP for Carbon Black, Ethylene, Cyanide, and Spandex (40 CFR Part 63, Subpart YY) (Final Rule)

Reference Number:

202012-2060-015

Omb Control Number:

2060-0489

Agency:

EPA/OAR

Received:

2020-12-21

Concluded:

2022-02-23

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
NESHAP for Carbon Black, Ethylene, Cyanide, and Spandex (40 CFR Part 63, Subpart YY) (Final Rule)

Key Information

Abstract

This ICR addresses information collection activities that will be imposed by proposed amendments to the National Emission Standards for Hazardous Air Pollutants (NESHAP) for the Ethylene Production source category in the Generic Maximum Achievable Control Technology standards, 40 CFR part 63, subparts XX and YY, referred to as the ethylene production MACT standards (or EMACT). The current EMACT standards were promulgated on July 12, 2002 (67 FR 46257) and amended on April 13, 2005 (70 FR 19266). As part of the residual risk and technology reviews for the NESHAP, the Environmental Protection Agency (EPA) is proposing amendments to correct and clarify regulatory provisions related to emissions during periods of startup, shutdown, and malfunction; add requirements for electronic reporting of performance test results; add operational requirements for flares; add standards and monitoring requirements for pressure relief devices (PRDs); add requirements and clarifications for vent control bypasses, including bypass lines, in situ sampling systems, maintenance activities, and certain gaseous streams routed to a fuel gas system; and revise requirements for storage vessels and heat exchange systems. This information collection request documents the recordkeeping and reporting requirements and burden imposed by these proposed amendments only. In general, all NESHAP standards require initial notifications, performance tests, and periodic reports by the owners/operators of the affected facilities. These notifications, reports, and records are essential in determining compliance and are required of all affected facilities subject to NESHAP. This information collection request (ICR) includes the burden for all activities that will be conducted in the first three years following promulgation of the proposed amendments to the EMACT standards. These activities include reading the rule, installing and maintaining monitors, and completing the recordkeeping and reporting requirements. Any owner/operator subject to the provisions of this part shall maintain a file of these notifications, reports, and records, and retain the file for at least five years. All reports are sent tonthe delegated state or local authority. In the event there is no such delegated authority, the reports are sent directly to the EPA regional office. The use of the term "Designated Administrator" throughout this document refers to the U.S. EPA or a delegated authority such as a state agency. The term "Administrator" alone refers to the U.S. EPA Administrator.

Federal Register Notices

60-Day FRN
View Notice

Authorizing Statutes

42 USC 7401 et. seq.
View Law

Presidential Action:

-

Title:

NESHAP for Clay Ceramics Manufacturing (40 CFR part 63, subpart KKKKK) (Final Rule)

Reference Number:

202005-2030-002

Omb Control Number:

2030-0048

Agency:

EPA/OMS

Received:

2020-12-17

Concluded:

2022-02-23

Action:

Approved without change

Status:

Active

Request Type:

New collection (Request for a new OMB Control Number)
NESHAP for Clay Ceramics Manufacturing (40 CFR part 63, subpart KKKKK) (Final Rule)

Key Information

Abstract

The U.S. Environmental Protection Agency (EPA) is required under section 112(d) of the Clean Air Act (CAA), as amended, to establish emission standards for each category or subcategory of major and area sources of HAP listed for regulation in section 112(b). Consequently, the EPA is proposing national emission standards for hazardous air pollutants (NESHAP) for clay ceramics manufacturing. The EPA is proposing that all major sources in this category meet maximum achievable control technology (MACT) standards for mercury, non-mercury metal hazardous air pollutants (HAP) (or particulate matter surrogate), and dioxins/furans; health-based standards for acid gas HAP; and work practice standards, where applicable. Potential respondents are owners or operators of clay ceramics manufacturing facilities. The information collected from respondents will be used by the EPA enforcement personnel to: (1) identify new, modified, reconstructed, and existing sources subject to the standards;

Federal Register Notices

60-Day FRN
View Notice

Authorizing Statutes

42 USC et seq. 7401
View Law

Presidential Action:

-

Title:

7 CFR 1776, Household Water Well System Grant Program

Reference Number:

202006-0572-006

Omb Control Number:

0572-0139

Agency:

USDA/RUS

Received:

2020-12-16

Concluded:

2022-01-06

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
7 CFR 1776, Household Water Well System Grant Program

Key Information

Abstract

This collection consists of items required to apply for a Household Water Well System Grant and those items necessary for reporting purposes after grant award.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

Pub.L. 107 - 171 306e
View Law
7 USC 1926e
View Law

Presidential Action:

-

Title:

National Visitor Use Monitoring

Reference Number:

202012-0596-002

Omb Control Number:

0596-0110

Agency:

USDA/FS

Received:

2020-12-16

Concluded:

2022-02-24

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
National Visitor Use Monitoring

Key Information

Abstract

This survey estimates the number of recreation visits that occur on lands in the National Forest System used to report on an annual basis to Congress on the agency's effectiveness in utilizing appropriated funds.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

Pub.L. 103 - 62 1, 2, 3, 4, 5, 6, 8, 9, 10, 11
View Law
Pub.L. 105 - 263 1, 2, 3, 4, 6, 7
View Law
16 USC 1241-1251
View Law
16 USC 1600-1614
View Law

Presidential Action:

-

Title:

Chemical-terrorism Vulnerability Information (CVI)

Reference Number:

202012-1670-001

Omb Control Number:

1670-0015

Agency:

DHS/CISA

Received:

2020-12-16

Concluded:

2021-11-23

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Chemical-terrorism Vulnerability Information (CVI)

Key Information

Abstract

In order to comply with the regulations set forth in 6 CFR § 27.400, information must be collected from chemical facility owners and operators. In the Chemical Facility Anti-Terrorism Standards all owners and operators will enable to have the ability to safeguard their Chemical-terrorism Vulnerability Information (CVI) and by law receives protection from public disclosure and misuse.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

Pub.L. 113 - 254 n/a
View Law
Pub.L. 109 - 295 550
View Law
6 USC 621
View Law
Pub.L. 107 - 296 n/a
View Law

Presidential Action:

-

Title:

Guaranteed Rural Housing Loan Program -- 7 CFR Part 3555

Reference Number:

202001-0575-001

Omb Control Number:

0575-0179

Agency:

USDA/RHS

Received:

2020-12-11

Concluded:

2021-12-09

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Guaranteed Rural Housing Loan Program -- 7 CFR Part 3555

Key Information

Abstract

Section 517(d) of title V of the Housing Act of 1949, as amended, provides the authority for the Secretary of Agriculture to issue loan guarantees for the acquisition of new or existing dwellings and related facilities to provide decent, safe, and sanitary living conditions and other structures in rural areas.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

42 USC 1471
View Law

Presidential Action:

-

Title:

NESHAP for Hydrochloric Acid Production (40 CFR Part 63, Subpart NNNNN) (Final Rule)

Reference Number:

202011-2060-001

Omb Control Number:

2060-0529

Agency:

EPA/OAR

Received:

2020-12-09

Concluded:

2022-02-23

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
NESHAP for Hydrochloric Acid Production (40 CFR Part 63, Subpart NNNNN) (Final Rule)

Key Information

Abstract

The National Emission Standards for Hazardous Air Pollutants (NESHAP) for Hydrochloric Acid Production were proposed on September 18, 2001 (66 FR 48174), promulgated on April 17, 2003 (68 FR 19076), and amended on April 7, 2006 (71 FR 17738). Amendments to the NESHAP are being promulgated as a result of the residual risk and technology review (RTR) required under the Clean Air Act (CAA) (as discussed further below). The NESHAP apply to hydrochloric acid production facilities that emit greater than or equal to 10 tons per year (tpy) of any one hazardous air pollutant (HAP) or greater than or equal to 25 tpy of any combination of HAP. Affected sources include new and existing hydrochloric acid production facilities. The pollutants regulated are hydrochloric acid (HCl) and chlorine (Cl2). New facilities include those that commenced construction or reconstruction after the date of the original proposal (September 18, 2001). This information is being collected to assure compliance with 40 CFR Part 63, Subpart NNNNN. In general, all NESHAP 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 failures to meet applicable standards, or any period during which the monitoring system is inoperative. These notifications, reports, and records are essential in determining compliance, and are required of all affected facilities subject to NESHAP. A semiannual report is also required. As part of the residual risk and technology review (RTR) for the NESHAP, the EPA is finalizing amendments to remove the startup, shutdown, and malfunction (SSM) exemption; remove the SSM plan and associated periodic report requirements; add a work practice standard for maintenance vents used during startup and shutdown; require electronic submittal of the notification of compliance status, results of performance evaluations of continuous monitoring systems, compliance reports, and performance test results; and make miscellaneous technical and editorial changes. The remaining portions of the NESHAP remain unchanged.

Federal Register Notices

60-Day FRN
View Notice

Authorizing Statutes

42 USC 7401 et seq
View Law

Presidential Action:

-

Title:

Work History Report

Reference Number:

202009-0960-011

Omb Control Number:

0960-0578

Agency:

SSA

Received:

2020-12-09

Concluded:

2024-08-12

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Work History Report

Key Information

Abstract

SSA asks individuals applying for disability about work they performed in the past. Applicants use Form SSA-3369, Work History Report, to provide SSA with detailed information about applicant’s jobs held prior to becoming unable to work. State Disability Determination Services evaluate the information together with medical evidence, to determine eligibility for disability payments. The respondents are disability applicants and third parties assisting applicants.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

42 USC 423
View Law

Presidential Action:

-

Title:

Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007 (CMS-10265)

Reference Number:

202011-0938-013

Omb Control Number:

0938-1074

Agency:

HHS/CMS

Received:

2020-12-09

Concluded:

2022-01-18

Action:

Approved with change

Status:

Historical Active

Request Type:

Revision of a currently approved collection
Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007 (CMS-10265)

Key Information

Abstract

The Centers for Medicare & Medicaid Services (CMS) seeks to collect various data elements for the applicable reporting entities for purpose of implementing the mandatory MSP reporting requirements of Section 111 of the MMSEA. This information will be used to ensure that Medicare makes payment in the proper order and/or takes necessary recovery actions. The purpose of this submission is to set forth what information will be collected pursuant to Section 111 and the process for such collection. Section 111 mandates the reporting of information specified by the Department of Health and Human Services Secretary in the form and manner specified by the Secretary (including frequency) Data the Secretary will collect is necessary for both pre-payment and post-payment coordination of benefit purposes, including the recovery actions. Section 111 establishes separate mandatory reporting requirements for group health plan arrangements as well as for liability insurance (including self-insurance), no-fault insurance, and workers' compensation, also referred to as non-group health plan. With the passage of Section 111, CMS now has the authority to mandate the reporting of insurer MSP information.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

Pub.L. 110 - 173 111
View Law
42 USC 1395y(b)(7)(A)(i)(II
View Law
Pub.L. 115 - 271 4002
View Law

Presidential Action:

-

Title:

Disability Report-Appeal

Reference Number:

202009-0960-009

Omb Control Number:

0960-0144

Agency:

SSA

Received:

2020-12-09

Concluded:

2022-06-21

Action:

Approved without change

Status:

Active

Request Type:

Extension without change of a currently approved collection
Disability Report-Appeal

Key Information

Abstract

SSA requires disability claimants who are appealing an unfavorable disability determination to complete the SSA–3441–BK, the associated Electronic Disability Collect System (EDCS) interview either via telephone or in person, or the Internet application, i3441. This form allows claimants to disclose any changes to their disability or resources that might influence SSA's unfavorable determination. We may use the information to: (1) reconsider and review an initial disability determination; (2) review a continuing disability; and (3) evaluate a request for a hearing. This information assists the State Disability Determination Services and administrative law judges (ALJ) in preparing for the appeals and hearings, and issuing a determination or decision on an individual's entitlement (initial or continuing) to disability benefits. Respondents are individuals who appeal denial, reduction, or cessation of Social Security disability income Supplemental Security Income (SSI) payments, or who are requesting a hearing before an ALJ.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

42 USC 1383
View Law
42 USC 423
View Law
42 USC 405
View Law

Presidential Action:

-

Title:

Teacher Questionnaire; Request for Administrative Information

Reference Number:

202008-0960-016

Omb Control Number:

0960-0646

Agency:

SSA

Received:

2020-12-09

Concluded:

2023-07-20

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Teacher Questionnaire; Request for Administrative Information

Key Information

Abstract

When determining the effects of a child’s impairment(s), SSA obtains information about the child’s functioning from teachers, parents, and others who have the opportunity to observe the child on a daily basis. SSA uses Forms SSA-5665-BK and SSA-5666 to make one-time requests for teacher reports; results of formal testing; therapy progress notes; individualized education programs; and other records of a child’s educational aptitude and achievement. Forms SSA-5665-BK and SSA-5666 are available electronically to school and training program administrators on SSA’s website. State Disability Determination Services (DDS) or SSA may send a request for completion of the SSA-5665-BK to a child’s local school administrative office or training program, which refers the request to the child’s teacher(s), who then accesses the form through the link. The teacher(s) forwards the completed SSA-5665-BK to the school’s or training program’s administrative office, which uploads it to SSA’s Electronic Records Express (ERE) system. The DDS or SSA may send a request for completion of the SSA 5666 and copies of the child’s school records to the central or local administrative school office, depending on which office maintains the child’s individual academic records. The administrative office or training program can also upload the child’s records via ERE. Although the SSA-5665-BK and SSA 5666 are available for online completion, some teachers and school personnel may print and manually complete the forms, then fax or mail them to the requesting DDS or SSA office. Respondents are teachers and other education personnel.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

42 USC 1382c
View Law
42 USC 1383b
View Law

Presidential Action:

-

Title:

Family Self-Sufficiency Program (FSS)

Reference Number:

202009-2577-001

Omb Control Number:

2577-0178

Agency:

HUD/PIH

Received:

2020-12-09

Concluded:

2021-04-27

Action:

Approved without change

Status:

Historical Active

Request Type:

Reinstatement with change of a previously approved collection
Family Self-Sufficiency Program (FSS)

Key Information

Abstract

Housing agencies enter into a Contract of Participation with each eligible family that opts to participate in the program; consult with local officials to develop an Action Plan; and report annually to HUD on implementation of the FSS program. PHAs may apply for funding to pay the salary (including fringe benefits) of FSS program coordinators.

Federal Register Notices

60-Day FRN
View Notice
30-Day FRN
View Notice

Authorizing Statutes

Pub.L. 101 - 625 23(c)
View Law

Presidential Action:

-

Title:

Rural Broadband Loans, Loan/Grant Combination, and Loan Guarantees

Reference Number:

202006-0572-005

Omb Control Number:

0572-0154

Agency:

USDA/RUS

Received:

2020-12-08

Concluded:

2021-08-16

Action:

Approved without change

Status:

Active

Request Type:

Revision of a currently approved collection
Rural Broadband Loans, Loan/Grant Combination, and Loan Guarantees

Key Information

Abstract

The Rural Utilities Service (RUS), is authorized by Title VI, Rural Broadband Access, of the Rural Electrification Act of 1936, as amended (RE Act), to provide loans, loan/grant combinations and loan guarantees to fund the cost of construction, improvement, or acquisition of facilities and equipment for the provision of broadband service in eligible rural areas in the States and Territories of the United States. 7 CFR part 1738 prescribes the types of loans available, facilities financed, and eligible applicants, as well as minimum equity requirements to be considered for a loan. In addition, 7 CFR part 1738 outlines the process through which RUS will consider applicants under the priority consideration required in Title VI.

Federal Register Notices

60-Day FRN
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30-Day FRN
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Authorizing Statutes

7 USC 901
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Pub.L. 115 - 334 6201
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Presidential Action:

-

Title:

Fuels Regulatory Streamlining (Final Rule)

Reference Number:

202012-2060-003

Omb Control Number:

2060-0731

Agency:

EPA/OAR

Received:

2020-12-08

Concluded:

2021-01-14

Action:

Approved without change

Status:

Active

Request Type:

New collection (Request for a new OMB Control Number)
Fuels Regulatory Streamlining (Final Rule)

Key Information

Abstract

The final rule establishes a new 40 CFR part 1090, which will replace a patchwork of fuels regulations under 40 CFR part 80, and which permits several potentially cost-saving improvements, including: Promoting the fungibility of fuels, which will reduce distribution and storage costs; Reducing the regulated number of fuels characteristics to be tested and reported from 13 to four, which reduces reporting burdens; Leveraging the part 80 registration system so that parties who are already registered will remain registered under the new part 1090; Reducing the required frequency of batch reporting from quarterly to annual; Providing better formats and easier procedures for reporting; and Consolidating existing survey programs.

Federal Register Notices

60-Day FRN
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Authorizing Statutes

42 USC Sec. 211
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Presidential Action:

-

Title:

Request for Social Security Earnings Information

Reference Number:

202012-0960-001

Omb Control Number:

0960-0525

Agency:

SSA

Received:

2020-12-08

Concluded:

2023-09-29

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Request for Social Security Earnings Information

Key Information

Abstract

The Social Security Act permits wage earners, or their authorized representative, to request Social Security earnings information from SSA using Form SSA-7050-F4. SSA uses the information the respondent provides on Form SSA-7050-F4 to verify the wage earner has: (1) earnings; (2) the right to access the correct Social Security Record; and (3) the right to request the earnings statement. If we verify all three items, SSA produces an Itemized Statement of Earnings (Form SSA-1826) and sends it to the requestor. The respondents are wage earners and their authorized representatives who are requesting Itemized Statement of Earnings records.

Federal Register Notices

60-Day FRN
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30-Day FRN
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Authorizing Statutes

42 USC 405
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Presidential Action:

-

Title:

Annual Earnings Test Direct Mail Follow-up Program Notices

Reference Number:

202009-0960-010

Omb Control Number:

0960-0369

Agency:

SSA

Received:

2020-12-08

Concluded:

2024-12-19

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Annual Earnings Test Direct Mail Follow-up Program Notices

Key Information

Abstract

SSA developed the Annual Earnings Test Direct Mail Follow-up Program to improve beneficiary reporting on work and earnings during the year and earnings information at the end of the year. SSA may reduce benefits payable under the Social Security Act when an individual has wages or self-employment income exceeding the annual exempt amount. SSA identifies beneficiaries likely to receive more than the annual exempt amount, and requests more frequent estimates of earnings from them. When applicable, SSA also requests a future year estimate to reduce overpayments due to earnings. SSA sends letters (SSA-L9778, SSA-L9779, SSA-L9781, SSA-L9784, SSA L9785, and SSA-L9790) to beneficiaries requesting earnings information the month prior to their attainment of full retirement age. We send each beneficiary a tailored letter that includes relevant earnings data from SSA records. The Annual Earnings Test Direct Mail Follow-up Program helps to ensure Social Security payments are correct, and enables us to prevent earnings-related overpayments, and avoid erroneous withholding. The respondents are working Social Security beneficiaries with earnings over the exempt amount.

Federal Register Notices

60-Day FRN
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30-Day FRN
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Authorizing Statutes

42 USC 403
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42 USC 405
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Presidential Action:

-

Title:

Medicare Part D Subsidies

Reference Number:

202010-0960-003

Omb Control Number:

0960-0702

Agency:

SSA

Received:

2020-12-08

Concluded:

2023-08-31

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Medicare Part D Subsidies

Key Information

Abstract

The Medicare Prescription Drug Improvement, and Modernization Act of 2003 (MMA) established the Medicare Part D program for voluntary prescription drug coverage of premium, deductible, and co-payment costs for certain low-income individuals. The MMA also mandated the provision of subsidies for those individuals who qualify for the program and who meet eligibility criteria for help with premium, deductible, or co-payment costs. This law requires SSA to make eligibility determinations and to provide a process for appealing SSA's determinations. Regulation sections 418.3625(c), 418.3645, 418.3665(a), and 418.3670 contain public reporting requirements pertaining to administrative review hearings. Respondents are applicants for the Medicare Part D subsidies who request an administrative review hearing.

Federal Register Notices

60-Day FRN
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30-Day FRN
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Authorizing Statutes

Pub.L. 108 - 173 101
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Presidential Action:

-

Title:

Electronic Records Express

Reference Number:

202008-0960-017

Omb Control Number:

0960-0753

Agency:

SSA

Received:

2020-12-08

Concluded:

2023-11-30

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Electronic Records Express

Key Information

Abstract

When a new source registers to use the website, SSA or state agency employees conduct the registration by phone or in person, and then keys the information into ERE. After completing the registration process, the registered user can provide evidence to the agency, and may request payment for providing evidence through the ERE website. SSA and state agency employees request the medical and educational records collected through the ERE website. The agency uses the information collected through ERE to make a determination on an Application for Benefits. We also use the ERE website to order and receive consultative examinations when we are unable to collect enough medical records to determine disability findings. The respondents are medical providers who evaluate or treat disability claimants or recipients, and other third parties with connections to disability applicants or recipients (ex: teachers and school administrators for child disability applicants), who voluntarily choose to use ERE to submit information.

Federal Register Notices

60-Day FRN
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30-Day FRN
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Authorizing Statutes

Pub.L. 105 - 277 -
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Presidential Action:

-
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