Information Collection Request (ICR) Tracker
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.
Federal agencies are required to submit an ICR whenever they create, renew, modify, or discontinue 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.
ICRs are publicly available on RegInfo.gov, and additional guidance can be found in the FAQs.
Showing 20 of 13770 results
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| 202105-0960-003 | Certificate of Support | SSA | 2021-11-19 | Active | Revision of a currently approved collection
Certificate of Support
Key Information
Abstract
A parent of a deceased, fully insured worker may be entitled to Social Security Old Age, Survivors, and Disability Insurance (OASDI) benefits based on the earnings record of the deceased worker under certain conditions. One of the conditions is when the parent receives at least one-half support from the deceased worker at certain points in time. The one-half support requirement also applies to a spousal applicant in determining whether OASDI benefits are subject to GPO. SSA uses Form SSA-760 to determine if the parent of a deceased worker or a spouse applicant meets the one-half support requirement. This form is mailed to the claimant with an SSA addressed postage stamp envelop for the claimant to mail back to their Field Office (FO). Respondents are parents of deceased workers and spouses who may meet the GPO exception. |
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| 202107-0960-006 | Data Exchange Request Form | SSA | 2021-11-19 | Active | Revision of a currently approved collection
Data Exchange Request Form
Key Information
Abstract
SSA engages in various forms of data exchanges from Social Security number verifications to computer matches for benefit eligibility, depending on the requestor's business needs. Section 1106 of the Social Security Act requires we consider the requestor's legal authority to receive the data, our disclosure policies, systems' feasibility, systems' security, and costs before entering into a data exchange agreement. We will use Form SSA-157, Data Exchange Request Form, for this purpose. Respondents are Federal, State, local, and foreign governments, as well as private organizations seeking to share data electronically with SSA. |
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| 202111-0701-001 | Air Force Family Integrated Results & Statistical Tracking Automated System | DOD/AF | 2021-11-19 | Active | Extension without change of a currently approved collection
Air Force Family Integrated Results & Statistical Tracking Automated System
Key Information
Abstract
The information collection requirement is necessary to record demographic information on Airman and Family Readiness Center (A&FRC) customers, results of the customer's visits, determine customer needs, service plan, referrals, workshop attendance and other related A&FRC activities and services assessed by the customer. Data is used to determine the effectiveness of A&FRC activities and services (results management) as well as collect and provide return on investment data to leadership. |
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| 202111-0960-005 | Credit Card Payment Form | SSA | 2021-11-19 | Active | Revision of a currently approved collection
Credit Card Payment Form
Key Information
Abstract
SSA uses Form SSA-1414 to process: (1) Credit card payments from former employees and vendors who have outstanding debts owed to the agency; (2) advance payments for reimbursable agreements; and (3) credit card payment for all Freedom of Information Act (FOIA) requests requiring payment. The respondents are former employees, and vendors who have outstanding debts to the agency; entities who have reimbursable agreements with SSA; and individuals who request information through FOIA. |
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| 202108-0960-007 | Registration for Appointed Representative Services and Direct Payment | SSA | 2021-11-18 | Active | Revision of a currently approved collection
Registration for Appointed Representative Services and Direct Payment
Key Information
Abstract
SSA uses Form SSA-1699 to register appointed representatives of claimants before SSA who: • Want to register for direct payment of fees; • Registered for direct payment of fees prior to 10/31/09, but need to update their information; • Registered as appointed representatives on or after 10/31/09, but need to update their information; or • Received a notice from SSA instructing them to complete this form. By registering these individuals, SSA: (1) authenticates and authorizes them to do business with us; (2) allows them to access our records for the claimants they represent; (3) facilitates direct payment of authorized fees to appointed representatives; and, (4) collects the information we need to meet Internal Revenue Service (IRS) requirements to issue specific IRS forms if we pay an appointed representative in excess of a specific amount ($600). The respondents are appointed representatives who want to use Form SSA-1699 for any of the purposes cited above. |
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| 202111-0960-006 | Medical Source Opinion of Patient’s Capability to Manage Benefits | SSA | 2021-11-18 | Active | Revision of a currently approved collection
Medical Source Opinion of Patient’s Capability to Manage Benefits
Key Information
Abstract
SSA collects medical evidence on Form SSA-787 to: (1) determine beneficiaries’ capability or inability to handle their own benefits; and (2) assist in determining the beneficiaries’ need for a representative payee. The respondents are the beneficiary’s physicians or medical officers of the institution in which the beneficiary resides. |
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| 202111-0610-001 | Requirements for Approved Construction Investments | DOC/EDA | 2021-11-18 | Historical Active | Revision of a currently approved collection
Requirements for Approved Construction Investments
Key Information
Abstract
The information requested is to enable EDA to monitor construction investments for compliance with Federal and other requirements. |
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| 202107-1810-006 | 21st Century Community Learning Centers Annual Performance Report | ED/OESE | 2021-11-18 | Historical Active | Revision of a currently approved collection
21st Century Community Learning Centers Annual Performance Report
Key Information
Abstract
The purpose of the 21st Century Community Learning Centers (21st CCLC) program, as authorized under Title IV, Part B, of the Elementary and Secondary Education Act, as amended by the Every Student Succeeds Act (ESSA) (20 U.S.C. 7171-7176) is to create community learning centers that provide academic enrichment opportunities for children, particularly students who attend high poverty and low-performing schools, to meet State and local student standards in core academic subjects, to offer students a broad array of enrichment activities that can complement their regular academic programs, and to offer literacy and other educational services to the families of participating children. Present in all 50 states, the District of Columbia, Puerto Rico, US Virgin Islands, and the Bureau of Indian Education, academic enrichment and youth development programs are designed to enhance participants’ well-being and academic success. The Department of Education (ED) is requesting authorization for a revision to collect data for 21st CCLC programs. The core purpose is to collect information on the Government Performance and Results Act (GPRA) performance indicators associated with the 21st CCLC program to report to Congress annually on the implementation and progress of 21st CCLC projects. All elements collected serve to meet the reporting requirements of the GPRAs. These metrics delivered in the form of an Annual Performance Report (APR) are the primary way the federal government determines the success and progress of the 21st CCLC program based on the statutory requirements. |
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| 202109-1012-001 | 30 CFR Parts 1202, 1206, and 1207, Indian Oil and Gas Valuation | DOI/ONRR | 2021-11-18 | Active | Extension without change of a currently approved collection
30 CFR Parts 1202, 1206, and 1207, Indian Oil and Gas Valuation
Key Information
Abstract
In accordance with the Paperwork Reduction Act of 1995 (“PRA”), ONRR is proposing to renew an information collection. Through this Information Collection Request (“ICR”), ONRR seeks renewed authority to collect information for the collection, verification, and disbursement of oil and gas royalties owed to Indian lessors. ONRR uses forms ONRR-4109, ONRR-4110, ONRR-4295, ONRR-4393, ONRR-4410, and ONRR-4411 as part of these information collection requirements. |
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| 202107-1902-005 | FERC-725G1, Mandatory Reliability Standards for the Bulk-Power System: Reliability Standard PRC-004-6 (Protection System Misoperation Identification and Correction) | FERC | 2021-11-17 | Active | Extension without change of a currently approved collection
FERC-725G1, Mandatory Reliability Standards for the Bulk-Power System: Reliability Standard PRC-004-6 (Protection System Misoperation Identification and Correction)
Key Information
Abstract
FERC-725G1 consists of the information collection requirements associated with Reliability Standard PRC-004-6 (“Protection System Misoperation Identification and Correction”). The purpose of Reliability Standard PRC-004-6 and the associated information collection is to ensure the identification and correction of the causes of misoperations of protection systems. |
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| 202107-1902-006 | FERC-725G4, Mandatory Reliability Standards: Reliability Standard PRC-010-2 (Undervoltage Load Shedding) | FERC | 2021-11-17 | Active | Extension without change of a currently approved collection
FERC-725G4, Mandatory Reliability Standards: Reliability Standard PRC-010-2 (Undervoltage Load Shedding)
Key Information
Abstract
FERC-725G4 consists of the information collection requirements of Reliability Standard PRC-010-2 (Undervoltage Load Shedding). The purpose of Reliability Standard PRC-010-2 and the associated information collection is to establish an integrated and coordinated approach to the design, evaluation, and reliable operation of Undervoltage Load Shedding (UVLS) Programs. NERC requests and collects data relevant to UVLS Programs from Planning Coordinators and Transmission Planners in accordance with this Reliability Standard. |
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| 202108-2900-020 | Survey of Healthcare Experiences of Patients (SHEP) -- Dental Care Patient Satisfaction Survey | VA | 2021-11-17 | Active | Reinstatement without change of a previously approved collection
Survey of Healthcare Experiences of Patients (SHEP) -- Dental Care Patient Satisfaction Survey
Key Information
Abstract
The overall purpose of the VHA Office of Dentistry Dental Patient Satisfaction Survey is to systematically obtain information from patients that can be used to identify problems or complaints that need attention and to improve the quality of dental health care services delivered to Veterans. The Office of Dentistry (OOD) currently tracks a number of clinical parameters indicative of quality care (e.g., appropriate use of fluoride products in high caries risk patients, frequency of dental examinations and care provided to medically compelling patients); however, patient satisfaction with this care is not specifically measured. The mission of the Veterans Health Administration (VHA) is to provide high quality medical and dental care to eligible veterans. |
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| 202111-0648-002 | Greater Atlantic Region Permit Family of Forms | DOC/NOAA | 2021-11-16 | Historical Active | Revision of a currently approved collection
Greater Atlantic Region Permit Family of Forms
Key Information
Abstract
This request is for a revision and extension of a currently approved information collection. Initial vessel permits, initial operator permits, initial dealer permits, vessel permit renewals, operator permit renewals, dealer permit renewals, Letter of Authorization (LOA), and gillnet tag certificates have been moved to an online system (FishOnline) and paper versions have been removed. Postage costs for associated permit renewals and LOA have been removed as a result of this change. Email and account information requirements have been added for the above applications. Also, automatic VMS polling has been removed from this collection as there is no burden on the vessel captain or crew for this activity. |
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| 202111-3041-002 | National Electronic Injury Surveillance System (NEISS) and Follow-up Activities for Product Related Injuries | CPSC | 2021-11-16 | Active | Revision of a currently approved collection
National Electronic Injury Surveillance System (NEISS) and Follow-up Activities for Product Related Injuries
Key Information
Abstract
Persons who have been injured in or who have witnessed safety- related incidents involving consumer products are an important source of safety information. The Commission uses information obtained from these persons and hospital emergency rooms to support activities to eliminate or reduce unreasonable risks of injury associated with consumer products. The 2022 revision refreshed NEISS by resampling hospitals and rolling the All Injury Program subsample into the full NEISS sample. |
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| 202111-0581-001CF | Tangible Personal Property Final Report:: | USDA/AMS | 2021-11-15 | Active | RCF Recertification
Tangible Personal Property Final Report::
Key Information
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| 202111-2040-003 | Unregulated Contaminant Monitoring Rule (UCMR 5) (Final Rule) | EPA/OW | 2021-11-15 | Active | New collection (Request for a new OMB Control Number)
Unregulated Contaminant Monitoring Rule (UCMR 5) (Final Rule)
Key Information
Abstract
The information that EPA will collect under this rule fulfills the statutory requirements of §1445(a)(2) of the Safe Drinking Water Act (SDWA), as amended in 1996, 2018, and 2019. The data describe the source of the water, location, and test results for samples taken from PWSs. The information collected will support EPA’s decisions as to whether or not to regulate particular contaminants under the SDWA. Reporting is mandatory. The data are not subject to confidentiality protection. |
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| 202111-1225-001 | Request for a Medical Exception or Delay to the COVID-19 Vaccination Requirement | DOL/DM | 2021-11-15 | Active | New collection (Request for a new OMB Control Number)
Request for a Medical Exception or Delay to the COVID-19 Vaccination Requirement
Key Information
Abstract
This information is being requested to promote the federal workforce, the safety of federal buildings, and others on site at agency facilities or those interacting with the public consistent with the COVID-19 Workplace Safety: Agency Model Safety Principles established by the Safer Federal Workforce Task Force and guidance from the CDC. To request a medical exemption from the COVID-19 vaccination requirement, an employee must complete Section I of the medical exemption form, and their medical provider must complete Sections II and III.Emergency Justfication:This information is essential to implement agencies’ health and safety measures included within recent Centers for Disease Control and Prevention and Safer Federal Workforce Task Force Guidance. The Department of Labor (DOL) has an urgent need to collect information for individuals applying for medical exemption to the COVID-19 Mandatory Vaccinations and this medical exemption form is necessary for DOL to determine legal exemptions to the vaccine requirement under the Rehabilitation Act and Americans with Disabilities Act. Applying regular Paperwork Reduction Act (PRA) clearance procedures is likely to cause harm because of the threat of COVID-19 exposure and transmission. |
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| 202111-2120-002CF | FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - Tangible Property Forms Request | DOT/FAA | 2021-11-15 | Active | RCF Recertification
FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - Tangible Property Forms Request
Key Information
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| 202102-0570-001 | 7 CFR 1951-R, Rural Development Loan Servicing | USDA/RBS | 2021-11-15 | Active | Revision of a currently approved collection
7 CFR 1951-R, Rural Development Loan Servicing
Key Information
Abstract
Regulation promulgates the policies and procedures for servicing or liquidating loans made by Rural Development under the Intermediary Relending Program to eligible intermediaries and applies to ultimate recipients and other involved partied. |
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| 202102-1006-002 | Lower Colorado River Well Inventory | DOI/RB | 2021-11-15 | Active | Extension without change of a currently approved collection
Lower Colorado River Well Inventory
Key Information
Abstract
The Bureau of Reclamation must inventory wells and river pumps along the lower Colorado River to ensure that all Colorado River water use conforms to applicable laws and regulations and is accurately accounted for. This will affect every well and river-pump owner and operator along the lower Colorado River in Arizona, California, and Nevada. |
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