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 13755 results
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| 202108-0648-008 | Permits for Incidental Taking of Endangered or Threatened Species | DOC/NOAA | 2021-09-14 | Active | Extension without change of a currently approved collection
Permits for Incidental Taking of Endangered or Threatened Species
Key Information
Abstract
This request is for an extension of a currently approved information collection. The Endangered Species Act of 1973 (ESA; 16 U.S.C. 1531 et. seq.) imposed prohibitions against the taking of endangered species. In 1982, Congress revised the ESA to allow permits authorizing the taking of endangered species incidental to otherwise lawful activities. The corresponding regulations (50 CFR part 222.222) established procedures for persons to apply for such a permit. In addition, the regulations set forth specific reporting requirements for such permit holders. The regulations contain three sets of information collections: (l) applications for incidental take permits, (2) applications for certificates of inclusion, and (3) reporting requirements for permits issued. Certificates of inclusion are only required if a general permit is issued to a representative of a group of potential permit applicants, rather than requiring each entity to apply for and receive a permit. The required information is used to evaluate the impacts of the proposed activity on endangered species, to make the determinations required by the ESA prior to issuing a permit, and to establish appropriate permit conditions. When a species is listed as threatened, section 4(d) of the ESA requires the Secretary to issue whatever regulations are deemed necessary or advisable to provide for conservation of the species. In many cases those regulations reflect blanket application of the section 9 take prohibition. However, the National Marine Fisheries Service (NMFS) recognizes certain exceptions to that prohibition, including habitat restoration actions taken in accord with approved state watershed action plans. While watershed plans are prepared for other purposes in coordination with or fulfillment of various state programs, a watershed group wishing to take advantage of the exception for restoration activities (rather than obtaining a section 10 permit) would have to submit the plan for NMFS review. |
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| 202109-1880-001CF | Certification of Vaccination Form | ED/OM | 2021-09-14 | Active | RCF New
Certification of Vaccination Form
Key Information
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| 202109-2003-001 | Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys (New) | EPA/ROPHILA | 2021-09-14 | Historical Active | New collection (Request for a new OMB Control Number)
Chesapeake Bay Program Citizen Stewardship Index, Diversity Profile, and Local Leadership Surveys (New)
Key Information
Abstract
The U.S. Environmental Protection Agency's (EPA) Chesapeake Bay Program (the Program) is interested in tracking its progress at attaining its goals under the 2014 Chesapeake Bay Watershed Agreement (the Agreement). To do this, the Program plans to implement three surveys: the Citizen Stewardship Survey, the Diversity Profile Survey, and the Local Leadership Survey. The Citizen Stewardship Survey will be implemented as a multi-mode survey that includes phone, web, and mail components and will target approximately 5,200 residents living in the Chesapeake Bay area, stratified by jurisdiction (states and the District of Columbia). The Diversity Profile Survey will be implemented among people who work on partnership efforts within the Bay area as a web-based survey. The Local Leadership Survey will be implemented among state and local elected officials involved in policy making in the Bay area also as a web-based survey. The Diversity Profile Survey and the Local Leadership Survey will be implemented by having the survey link distributed via email by partner organizations and through list-servs. The Diversity Profile Survey will be distributed to approximately 900 people while the Local Leadership Survey will be distributed to approximately 15,000 people. The Program will be using the data from these three surveys to track it progress under the Stewardship goal of the 2014 Agreement. The Stewardship goal includes three outcomes: (1) Citizen Stewardship, (2) Local Leadership, and (3) Diversity. The three surveys under this ICR each address one of the outcomes and contribute to EPA's Government Performance and Results Act (GPRA) goals (EPA Goal 1, A Cleaner, Healthier Environment; Objective 1.2: Provide for Clean and Safe Water). Collecting these data and publishing them for public review will allow the public to track how well the Agreement is working to preserve and protect the Chesapeake Bay region from the standpoint of the Stewardship goal outlined in the Agreement. Overall, the Agreement contains 10 goals and their associated outcomes; data for the other nine goals are collected through other means. Combining the data for Stewardship goal outcomes from these surveys with the data for the other nine goals will provide the public with a comprehensive picture of the progress being made to preserve and protect the Chesapeake Bay. |
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| 202108-1004-004 | Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912) | DOI/BLM | 2021-09-13 | Active | Extension without change of a currently approved collection
Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912)
Key Information
Abstract
The Bureau of Land Management (BLM) uses the information collection to decide whether or not to lease or sell certain public lands to applicants under the Recreation and Public Purposes Act, 43 U.S.C. 869 to 869–4. This request is for OMB to renew OMB control number 1004-0012 for an additional three (3) years. |
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| 202104-0960-007 | Representative Payment Policies Regulation | SSA | 2021-09-10 | Active | Revision of a currently approved collection
Representative Payment Policies Regulation
Key Information
Authorizing Statutes
42 USC 405 (View Law) 42 USC 902 (View Law) 42 USC 1383 (View Law) 42 USC 1007 (View Law) Pub.L. 106 - 169 251(a) (View Law) Abstract
20 CFR 404.2011 and 416.611 of the Code of Federal Regulations enable SSA to make payments to recipients’ representative payees if it may cause substantial harm for the beneficiaries to receive their payments directly. The regulations allow beneficiaries to dispute a finding that substantial harm exists by providing SSA with evidence to reevaluate the determination. In addition, sections 20 CFR 404.2025 and 416.625 describe the information representative payees must provide SSA about their continuing relationship and responsibility for the recipients, and explain how they use the recipients’ payments to verify payee performance. The respondents are Title II and Title XVI recipients, and their representative payees. |
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| 202105-0960-002 | Financial Disclosure for Civil Monetary Penalty (CMP) Debt | SSA | 2021-09-10 | Historical Active | Revision of a currently approved collection
Financial Disclosure for Civil Monetary Penalty (CMP) Debt
Key Information
Abstract
When SSA imposes a civil monetary penalty (CMP) on individuals for various fraudulent conduct related to SSA-administrated programs, those individuals may request to pay the CMP through benefit withholding, or an installment agreement. To negotiate a monthly payment amount, fair to both the individual and the agency, SSA needs financial information from the individual. The agency uses Form SSA-640 to obtain the information necessary to determine a monthly installment repayment rate for individuals owing a CMP. The respondents are recipients of Social Security benefits, and non-entitled individuals who must repay a CMP to the agency and choose to do so using an installment plan. |
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| 202107-0960-008 | Certification of Elections for Reduced Spouse's Benefits | SSA | 2021-09-10 | Active | Revision of a currently approved collection
Certification of Elections for Reduced Spouse's Benefits
Key Information
Abstract
Reduced benefits are to payable to an already entitled spouse, at least age 62 but under full retirement age, who no longer has a child in their care unless the spouse elects to receive reduced benefits. If spouses decide to elect reduced benefits, they complete Form SSA-25. SSA uses the information to pay qualified spouses who elect to receive reduced benefits. Respondents are entitled spouses seeking reduced benefits. |
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| 202109-1405-001 | Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card | STATE/AFA | 2021-09-10 | Active | Revision of a currently approved collection
Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card
Key Information
Abstract
This form is used in conjunction with a DS-11, "Application for a U.S. Passport", or submitted separately to report loss or theft of a U.S. passport. Passport Services collects the information when a U.S. citizen or non-citizen national applies for a new U.S. passport and has been issued a previous, still valid U.S. passport that has been lost or stolen, or when a passport holder independently reports it lost or stolen. Passport applicants can either download the form from the internet or obtain one at any Passport Agency or Acceptance Facility. |
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| 202104-0960-012 | Third Party Liability Information Statement | SSA | 2021-09-10 | Active | Revision of a currently approved collection
Third Party Liability Information Statement
Key Information
Abstract
To reduce Medicaid costs, Medicaid state agencies identify third party insurers liable for medical care or services for Medicaid beneficiaries. Applications for and redeterminations of SSI eligibility in jurisdictions with such agreements are applications and redeterminations of Medicaid eligibility. Under these agreements, SSA obtains third party liability information using Form SSA-8019, and provides that information to the Medicaid state agencies. The Medicaid state agencies use the information to bill third parties liable for medical care, support, or services for a beneficiary to guarantee that Medicaid remains the payer of last resort. The respondents are SSI claimants and recipients. |
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| 202104-0960-005 | Permanent Residence in the United States Under Color of Law (PRUCOL) | SSA | 2021-09-10 | Active | Revision of a currently approved collection
Permanent Residence in the United States Under Color of Law (PRUCOL)
Key Information
Authorizing Statutes
42 USC 1383 (View Law) Pub.L. 105 - 33 5301(c) (View Law) Pub.L. 104 - 193 401, 402 (View Law) Pub.L. 105 - 306 2 (View Law) Abstract
According to regulations 20 CFR 416.1415 and 416.1618, a PRUCOL alien must present evidence of his/her alien status at application and periodically thereafter as part of the eligibility determination process for Supplemental Security Income. SSA verifies the validity of the evidence of PRUCOL for grandfathered nonqualified aliens with the Department of Homeland Security (DHS). Based on the DHS response, SSA determines whether the individual is PRUCOL. Without this information, SSA is unable to determine whether the individual is eligible for SSI payments. The respondents are qualified and unqualified aliens who apply for SSI payments under PRUCOL. |
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| 202105-0960-004 | Request for Business Entity Taxpayer Information | SSA | 2021-09-09 | Active | 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. |
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| 202105-0960-006 | Request for Withdrawal of Application | SSA | 2021-09-09 | Active | 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. |
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| 202003-1028-002 | Hydrography Maintenance Portal (HMP) | DOI/GS | 2021-09-08 | Active | 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. |
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| 202011-1028-001 | National Geological and Geophysical Data Preservation Program (NGGDPP) | DOI/GS | 2021-09-08 | Active | 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. |
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| 202107-1076-003 | Indian Business Incubator Program (IBIP), 25 CFR 1187 | DOI/BIA | 2021-09-08 | Active | 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. |
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| 202109-0938-007 | Pre-Claim Review Demonstration for Inpatient Rehabilitation Facility Services (CMS-10765) | HHS/CMS | 2021-09-08 | Historical Active | 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. |
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| 202108-1651-001 | Application for Allowance in Duties | DHS/USCBP | 2021-09-08 | Historical Active | 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. |
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| 202108-1004-002 | Desert Land Entry Application (43 CFR Part 2520) | DOI/BLM | 2021-09-07 | Active | 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. |
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| 202109-2040-001 | Clean Watersheds Needs Survey (CWNS) (Reinstatement) | EPA/OW | 2021-09-07 | Active | 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. |
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| 202108-1004-005 | Color-of-Title Application (43 CFR Subparts 2540 and 2541) | DOI/BLM | 2021-09-07 | Active | 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. |
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