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

Reference Number
Title
Agency
Received
Status
Request Type
Presidential Action
202110-0570-003CF SF-424A, “Budget Information – Non-Construction Programs”. USDA/RBS 2021-11-04 Active
RCF New
SF-424A, “Budget Information – Non-Construction Programs”.

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0006
-
202110-0570-002CF SF-424, "Application for Federal Assistance" USDA/RBS 2021-11-04 Active
RCF New
SF-424, "Application for Federal Assistance"

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-12-31
Action

Approved without change
OMB Control #
4040-0004
-
202109-1205-001 Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers Under Section 105 of Division O of the Further Consolidated Appropriations Act, 2021, Public Law 116-260 DOL/ETA 2021-11-04 Active
Revision of a currently approved collection
Attestation for Employers Seeking to Employ H-2B Nonimmigrant Workers Under Section 105 of Division O of the Further Consolidated Appropriations Act, 2021, Public Law 116-260

Key Information

Received

2021-11-04
Concluded

2022-10-25
Expires

2025-10-31
Action

Approved without change
OMB Control #
1205-0547
Previous ICR

202105-1205-005

Federal Register Notices

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

Authorizing Statutes

Pub.L. 116 - 260 105 of Division O (View Law)

Abstract

Employers that sought authorization to employ H-2B workers under this time-limited authority submitted Form ETA-9142-B-CAA-4 and the I-129 petition to U.S. Citizenship and Immigration Services (USCIS) in DHS; if they made the submission to USCIS 45 or more days after the certified start date of work, as shown on its approved Application for Temporary Employment Certification, they were required to conduct additional recruitment to confirm that there were no qualified U.S. workers available for the positions. These employers were, and continue to be, required to maintain the records associated with the filing of Form ETA-9142-B-CAA-4, including those related to the additional recruitment efforts, if applicable, for three years from the date DOL certified the H-2B temporary labor certification application.

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202110-0570-008CF SF-424B, “Assurances – Non-Construction Programs”. USDA/RBS 2021-11-04 Active
RCF New
SF-424B, “Assurances – Non-Construction Programs”.

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0007
-
202110-0570-015CF SF-425, Federal Financial Report USDA/RBS 2021-11-04 Active
RCF New
SF-425, Federal Financial Report

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0014
-
202110-0570-009CF SF 424 Application for Federal Assistance USDA/RBS 2021-11-04 Active
RCF New
SF 424 Application for Federal Assistance

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2023-02-28
Action

Approved without change
OMB Control #
4040-0005
-
202110-0570-011CF Form SF-424B, Assurances for Non-Construction Programs USDA/RBS 2021-11-04 Active
RCF New
Form SF-424B, Assurances for Non-Construction Programs

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0007
-
202110-0570-004CF SF-424C, “Budget Information – Construction Programs” USDA/RBS 2021-11-04 Active
RCF New
SF-424C, “Budget Information – Construction Programs”

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0008
-
202110-0570-007CF SF-LLL, “Disclosure of Lobbying Activities” USDA/RBS 2021-11-04 Active
RCF New
SF-LLL, “Disclosure of Lobbying Activities”

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0013
-
202110-0570-005CF SF-424D, “Assurances – Construction Programs”. USDA/RBS 2021-11-04 Active
RCF New
SF-424D, “Assurances – Construction Programs”.

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0009
-
202110-0570-010CF SF-424A, Budget Information for Non-Construction Programs USDA/RBS 2021-11-04 Active
RCF New
SF-424A, Budget Information for Non-Construction Programs

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0006
-
202111-0572-001CF SF 424 - Application for Federal Assistance USDA/RUS 2021-11-04 Active
RCF New
SF 424 - Application for Federal Assistance

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-12-31
Action

Approved without change
OMB Control #
4040-0004
-
202107-2120-001 Unmanned Aircraft Systems (UAS) BEYOND and Partnership for Safety Plan (PSP) Programs DOT/FAA 2021-11-04 Active
New collection (Request for a new OMB Control Number)
Unmanned Aircraft Systems (UAS) BEYOND and Partnership for Safety Plan (PSP) Programs

Key Information

Received

2021-11-04
Concluded

2021-12-07
Expires

2025-05-31
Action

Approved without change
OMB Control #
2120-0800

Federal Register Notices

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

Authorizing Statutes

49 USC 106 (View Law)

Abstract

The purpose of the BEYOND and PSP programs is for the FAA to work with state, local and tribal (SLT) governments and private UAS operators to integrate UAS into the national airspace system. The programs have multiple data collections toward that goal. First, narrative reports will provide qualitative, non-statistical data to inform the FAA of operational trends, highlight successes and failures, and describe challenges and lessons learned. These reports are meant to inform the FAA of progress, identify where there are challenges or gaps in understanding, and help FAA make policy and resource decisions. The data will be supplied by the eight SLT governments in the BEYOND program and seven industry operators in the PSP program. Second, there are systems and operations data submissions which will provide both quantitative and qualitative information about the program participants’ aircraft, flights, corrective maintenance actions, off-nominal flight events, and UAS testing activities. The submissions are not statistical in nature but are designed to supply data that will help inform policy and standards related to UAS pilots flying their aircraft beyond their visual line of sight. The data will be supplied by the eight BEYOND participants, and the seven PSP participants. Third, there are societal and economic data submissions that will provide qualitative and quantitative data regarding the potential societal and economic impacts of participant UAS operations. These are non-statistical reports that provide insight into the types of societal and economic benefits or detriments the participants’ UAS operations are having on their communities and their business operations compared to non-UAS (legacy) operations. These submissions will help to inform FAA policy and decision-making toward integrating different types of operations into the NAS, and to inform discussions with the public on the potential benefits of using UAS. The data will be supplied by the eight BEYOND participants, and the seven PSP participants. Fourth, there is a community engagement component to the programs which includes two separate, but related, collections. One of these is the reports that will provide qualitative and quantitative data regarding the participants’ community outreach activities, including the types of activities, the targeted audiences, and the types and quantity of feedback received. The reports will include any raw data collected using questionnaires or surveys. These submissions are not statistical in nature, but will provide valuable information to the FAA that will inform community engagement best practices and lessons learned which can be shared with the public. The data will be supplied by the eight BEYOND participants, and the seven PSP participants. The other piece of the community engagement component is the Community Engagement Tool, which will include a potential burden on the general public. The Community Engagement Tool was developed by the FAA as an optional aid for program participants that includes general and operation-specific questions related to UAS operations. The BEYOND and PSP participants may choose to use any of the pertinent sample survey questions when developing their own questionnaires to survey the general public in their communities. The tool includes questions on general knowledge of UAS and sentiments toward potential benefits or drawbacks of UAS operations. The Community Engagement Tool is intended to help the program participants develop simple questionnaires with no intended utility other than gaining insight into the general public’s experience with, and opinions of, UAS operations. No statistical analysis or inference will be performed other than tabulation of responses. Results may be used to help develop lessons learned or best practices for other UAS stakeholders pertaining to community engagement activities.

-
202110-0570-006CF SF-270, “Request for Advance or Reimbursement”. USDA/RBS 2021-11-04 Active
RCF New
SF-270, “Request for Advance or Reimbursement”.

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0014
-
202110-0570-016CF SF-LLL, Disclosure of Lobbying Activities USDA/RBS 2021-11-04 Active
RCF New
SF-LLL, Disclosure of Lobbying Activities

Key Information

Received

2021-11-04
Concluded

2021-11-09
Expires

2022-02-28
Action

Approved without change
OMB Control #
4040-0013
-
202111-0938-002 ICF/IID Survey Report Form (CMS-3070G-I) and Supporting Regulations HHS/CMS 2021-11-03 Active
Revision of a currently approved collection
ICF/IID Survey Report Form (CMS-3070G-I) and Supporting Regulations

Key Information

Received

2021-11-03
Concluded

2022-09-12
Expires

2025-09-30
Action

Approved without change
OMB Control #
0938-0062
Previous ICR

201903-0938-013

Federal Register Notices

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

Authorizing Statutes

19 Stat. 1905

19 Stat. 1902

Abstract

This survey form is necessary to ensure ICF/IID provider and client characteristics are available and updated annually for the Federal Government's Automated Survey Processing Environment Suite (ASPEN). The surveyor is required to complete the survey foram at the time of the annual recertification or intial certification survey conducted by the State Survey agency. The team leader for the State Survey team must review and approve the completed form before the completion of the survey. The State Medicaid survey agency is responsible for transferring the 3070H information into ASPEN.

-
202110-0960-001 Statement of Claimant or Other Person SSA 2021-11-02 Active
Revision of a currently approved collection
Statement of Claimant or Other Person

Key Information

Received

2021-11-02
Concluded

2022-05-16
Expires

2025-05-31
Action

Approved with change
OMB Control #
0960-0045
Previous ICR

201803-0960-004

Federal Register Notices

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

Authorizing Statutes

42 USC 405 (View Law)

Abstract

SSA uses the SSA-795 to obtain information from claimants or other persons having knowledge of facts in connection with claims for Social Security benefits or Supplemental Security Income (SSI) payments when there is no standard form to collect the needed information. SSA then uses the information to process claims for benefits or for ongoing issues related to the above programs. The respondents are applicants and recipients, or others having knowledge of facts in connection with claims for Social Security or SSI.

-
202111-0960-001 Claimant's Medications SSA 2021-11-02 Active
Revision of a currently approved collection
Claimant's Medications

Key Information

Received

2021-11-02
Concluded

2021-12-28
Expires

2025-05-31
Action

Approved with change
OMB Control #
0960-0289
Previous ICR

201804-0960-005

Federal Register Notices

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

Authorizing Statutes

42 USC 405 (View Law)

42 USC 423 (View Law)

42 USC 1383 (View Law)

Abstract

In cases where claimants request a hearing after denial of their disability claim for Social Security, SSA uses Form HA-4632 to request information from the claimant regarding the medications they use. This information helps the judge overseeing the case to fully investigate: (1) the claimant’s medical treatment and (2) the effects of the medications on the claimant’s medical impairments and functional capacity. The judge makes the completed form a part of the documentary evidence of record, placing it in the official record of the proceedings as an exhibit. The respondents are applicants (or their representatives) for OASDI benefits or SSI payments who request a hearing to contest an agency denial of their claim.

-
202110-1660-001 Federal Hotel and Motel Fire Safety Declaration Form DHS/FEMA 2021-11-02 Active
Extension without change of a currently approved collection
Federal Hotel and Motel Fire Safety Declaration Form

Key Information

Received

2021-11-02
Concluded

2022-03-30
Expires

2025-09-30
Action

Approved without change
OMB Control #
1660-0068
Previous ICR

201804-1660-001

Federal Register Notices

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

Authorizing Statutes

Pub.L. 101 - 391 3 (View Law)

Abstract

The Federal Hotel and Motel Fire Safety Declaration Form, FEMA Form FF-USFA-FY-21-112 (formerly 516-0-1), is used to collect basic information on life-safety systems related directly to fire-safety in hotels, motels, and similar places of accommodation applying for inclusion on the NML. In completing the form, applicants—property owners, lodging managers, or their delegates—provide basic information including identification of the owner(s) of the property, the business’s Employer Identification Number (EIN), and provisions for life-safety from fire. The form requests specific responses from applicants as to the installation of smoke alarms in all guestrooms of properties submitted for listing on the NML. In addition, applicants must indicate if the lodging establishment has an automatic fire sprinkler system where the building is four stories or higher. Once approved for the NML, the database record for each lodging establishment is assigned a unique identification number (FEMA ID). The information is collected and distributed through an on-line, electronic database accessed through the USFA website. Information submitted voluntarily by lodging establishments is reviewed and if the criteria meet the requirements of Public Law 101-391, they are given a FEMA ID number and listed in the NML database. Federal travelers and the public seeking public accommodation with provisions for life-safety from fire access the NML through the on-line database and identify lodging establishments in the area to which they are traveling.

-
202111-0960-002 Certification of Prison Records by Prison Officials SSA 2021-11-02 Active
Extension without change of a currently approved collection
Certification of Prison Records by Prison Officials

Key Information

Received

2021-11-02
Concluded

2024-11-19
Expires

2026-11-30
Action

Approved with change
OMB Control #
0960-0688
Previous ICR

201805-0960-008

Federal Register Notices

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

Authorizing Statutes

42 USC 405 (View Law)

42 USC 902 (View Law)

Abstract

SSA collects information needed to assign an SSN, as well as issue an original, duplicate, or corrected SSN card. SSA uses the SSN to keep an accurate record of an individual’s earnings, and to accurately pay benefits under the Social Security program. Inmates of Federal, State, or local prisons, either public or private (third party contracted by local, State, or Federal Government agency), may need an SSN card as verification of their SSN for school or work programs, or as proof of employment eligibility upon release from prison. Before SSA can issue a replacement Social Security card, applicants must show SSA proof of their identity. People who are in prison for an extended period typically do not have current identity documents. Therefore, under formal written agreement with the correctional institution, SSA contacts prison officials, and allows them to verify the identity of certain incarcerated U.S. citizens who need replacement Social Security cards. Inmates complete and sign Form SS-5 (OMB No. 0960-0066), Application for a Social Security Card, and a prison official certifies the inmate's identity using information found in the inmate's official file. Information prison officials provide comes from the official prison files sent on correctional facility letterhead; there is no standardized form used for this information collection. SSA uses this information to establish the applicant’s identity in the replacement Social Security card process. The respondents are prison officials who certify the identity of prisoners applying for replacement Social Security cards.

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