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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| 202108-1004-005 | 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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| 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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| 202007-1014-008 | 30 CFR 254, Oil-Spill Response Requirements for Facilities Located Seaward of the Coast Line | DOI/BSEE | 2021-09-07 | Active | Extension without change of a currently approved collection
30 CFR 254, Oil-Spill Response Requirements for Facilities Located Seaward of the Coast Line
Key Information
Abstract
BSEE requires the information to ensure compliance with the Oil Pollution Act of 1990 (OPA). BSEE uses the information to determine effectiveness of spill-response capability; to verify that State plans meet the minimum OPA requirements; to verify OSR training of personnel; to assess availability and quantities of contractor equipment; to oversee spill-response efforts; to assess efforts to prevent oil spills or substantial threats of such discharges, etc. Respondents are primarily owners or operators of facilities located in both State and Federal waters seaward of the coast line. |
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| 202104-0960-006 | Function Report - Adult | SSA | 2021-09-03 | Active | Revision of a currently approved collection
Function Report - Adult
Key Information
Abstract
Individuals receiving or applying for SSDI or SSI must provide medical evidence and other proof SSA requires to prove their disability. SSA staff, and, on our behalf, State Disability Determination Services’ (DDS) employees, collect the information via paper Form SSA-3373, or through an in-person or telephone interview for cases where we need information about a claimant’s activities and abilities to evaluate the claimant’s disability. We use the information to document how claimants’ disabilities affect their ability to function, and to determine eligibility, or continued eligibility, for SSI and SSDI claims. The respondents are adult Title II and Title XVI claimants, or current recipients undergoing redeterminations of benefits. |
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| 202108-0960-011 | Statement of Care and Responsibility for Beneficiary | SSA | 2021-09-03 | Active | Revision of a currently approved collection
Statement of Care and Responsibility for Beneficiary
Key Information
Abstract
SSA uses the information from Form SSA-788 to verify payee applicants' statements of concern and to identify other potential payees. SSA is concerned with selecting the most qualified representative payee who will use Social Security benefits in the beneficiary's best interest. SSA considers factors such as the payee applicant's capacity to perform payee duties, awareness of the beneficiary's situation and needs, demonstration of past and current concern for the beneficiary's well-being, etc. If the payee applicant does not have custody of the beneficiary, SSA will obtain information from the custodian for evaluation against information provided by the applicant. Respondents are individuals who have custody of the beneficiary in cases where someone else has filed to be the beneficiary's representative payee. Form SSA-788 is an agency generated form, which SSA completes the top portion of Form SSA-788, sends to the custodians of the beneficiaries, and they complete the rest of the form and gives back to us. |
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| 202104-0960-009 | Request for Workers' Compensation/Public Disability Benefit Information | SSA | 2021-09-03 | Active | Revision of a currently approved collection
Request for Workers' Compensation/Public Disability Benefit Information
Key Information
Abstract
Claimants for Social Security disability payments who are also receiving WC/PDB must notify SSA about their WC/PDB, so the agency can consider a possible offset to reduce their Social Security disability payments accordingly. If claimants provide necessary evidence, such as a copy of their award notice, benefit check, etc. that is sufficient verification. In cases where claimants cannot provide such evidence, SSA uses Form SSA-1709 to obtain WC/PDB payment evidence. The entity paying the WC/PDB benefits, its agent (such as insurance carrier), or an administrating public agency completes this form. The respondents are Federal, State, and local agencies; insurance carriers; and public or private self-insured companies administering WC/PDB benefits to disability claimants. |
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| 202109-3084-001CF | Certification of Vaccination Common Form | FTC | 2021-09-01 | Active | RCF New
Certification of Vaccination Common Form
Key Information
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| 202109-1902-003CF | Certification of Vaccination Status | FERC | 2021-09-01 | Active | RCF New
Certification of Vaccination Status
Key Information
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| 202108-3145-001CF | National Science Foundation Certification of Vaccination - Contractors and Visitors | NSF | 2021-08-31 | Active | RCF New
National Science Foundation Certification of Vaccination - Contractors and Visitors
Key Information
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| 202105-0938-005 | Initial and Renewal Model of Care Submissions, and Off-cycle Submission of Summaries of Model of Care Changes (CMS-10565) | HHS/CMS | 2021-08-31 | Historical Active | Revision of a currently approved collection
Initial and Renewal Model of Care Submissions, and Off-cycle Submission of Summaries of Model of Care Changes (CMS-10565)
Key Information
Authorizing Statutes
Pub.L. 111 - 148 3205(e) (View Law) Pub.L. 111 - 148 1859 (b)(6)(B)(iii) (View Law) Abstract
Medicare Advantage (MA) Special Needs Plans (SNPs) are required to submit Models of Care (MOCs) as a component of the MA application process. The Affordable Care Act (ACA) requires that all SNPs be approved by the National Committee for Quality Assurance (NCQA). This approval is based on NCQA’s evaluation of SNPs using MOC scoring guidelines developed by CMS and NCQA for the Secretary of the Department of Health and Human Services (DHHS). The MOC elements cover the following areas: MOC 1- Description of the SNP Population; MOC 2 - Care Coordination; MOC 3 - Provider Network; and MOC 4 - Quality Measurement & Performance Improvement. SNPs submit a MOC at time of their initial application and based on their scores, SNPs receive an approval for a period of 1, 2 or 3 years. After the approval period expires, SNPs are required to submit an updated MOC for review for their renewal process. CMS is also developing a MOC off-cycle revision process so that SNPs can revise the MOC to modify its processes and strategies for providing care during their MOC approval period. CMS will require that SNPs submit summaries of their MOC revisions to CMS for NCQA evaluation when a SNP makes significant changes to its MOC during the approval period. NCQA will review the summary of changes to verify that the revisions are consistent with the acceptable, high quality standards as included in the original approved MOC. CMS will begin collecting MOCs mid-January 2016 to coincide with the MA Application collection. |
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| 202106-0920-013 | Formative Research to Develop HIV Social Marketing Campaigns for Healthcare Providers | HHS/CDC | 2021-08-31 | Historical Active | Reinstatement with change of a previously approved collection
Formative Research to Develop HIV Social Marketing Campaigns for Healthcare Providers
Key Information
Abstract
The purpose of this study is to conduct in-depth interviews with healthcare providers to inform the development and/or refinement of provider-focused message, concepts, and materials for CDC's Let's Stop HIV Together social marketing campaign. The results will be used to develop and/or revise timely, relevant, clear, and engaging messages, concepts, and materials for the campaign in support of HHS' Ending the HIV Epidemic plan. |
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| 202108-2060-004 | NSPS for Polymeric Coating of Supporting Substrates Facilities (40 CFR Part 60, Subpart VVV) (Renewal) | EPA/OAR | 2021-08-31 | Active | Extension without change of a currently approved collection
NSPS for Polymeric Coating of Supporting Substrates Facilities (40 CFR Part 60, Subpart VVV) (Renewal)
Key Information
Abstract
The New Source Performance Standards (NSPS) for Polymeric Coating of Supporting Substrates Facilities (40 CFR Part 60, Subpart VVV) apply to each existing and new coating operation and any on-site coating mix preparation equipment used to prepare coatings for the polymeric coating of supporting substrates. New facilities include those that commenced construction, modification, or reconstruction after the date of proposal. In general, all NSPS standards require initial notifications, performance tests, and periodic reports by the owners/operators of the affected facilities. They are also required to maintain records of the occurrence and duration of any startup, shutdown, or malfunction in the operation of an affected facility, or any period during which the monitoring system is inoperative. These notifications, reports, and records are essential in determining compliance with 40 CFR Part 60, Subpart VVV. |
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| 202108-1093-001CF | DOI Certification of Vaccination Attestation Common Form (Contractors and Visitors) | DOI/OS | 2021-08-31 | Active | RCF New
DOI Certification of Vaccination Attestation Common Form (Contractors and Visitors)
Key Information
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| 202108-1910-003 | Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery | DOE/DOEOA | 2021-08-31 | Active | Revision of a currently approved collection
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Key Information
Abstract
This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs. |
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| 202108-2060-001 | Federal Implementation Plans under the Clean Air Act for Indian Reservations in Idaho, Oregon, and Washington (40 CFR Part 49, Subpart M) (Renewal) | EPA/OAR | 2021-08-31 | Active | Extension without change of a currently approved collection
Federal Implementation Plans under the Clean Air Act for Indian Reservations in Idaho, Oregon, and Washington (40 CFR Part 49, Subpart M) (Renewal)
Key Information
Abstract
In 2005, the U.S. Environmental Protection Agency (EPA) promulgated Federal Implementation Plans (FIPs) under the Clean Air Act (CAA or the Act) for Indian reservations located in Idaho, Oregon and Washington. The FIPs include basic air quality regulations to protect health and welfare on Indian reservations located in the Pacific Northwest. These rules are implemented by EPA and delegated to Tribes. The Office of Management and Budget (OMB) approved an Information Collection Request (ICR) titled Federal Implementation Plans Under the Clean Air Act for Indian Reservations in Idaho, Oregon and Washington, on November 16, 2004, and approved renewals on May 23, 2008, August 3, 2011, March 16, 2015, and August 31, 2018. This ICR is a renewal of the August 2018 ICR and presents updated burden estimates for respondents to comply with various FIP provisions required by 40 CFR Part 49, Subpart M Implementation Plans for Tribes in Region 10. |
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| 202108-3095-001CF | Certification of Vaccination | NARA | 2021-08-31 | Active | RCF New
Certification of Vaccination
Key Information
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| 201912-1103-001 | COPS Progress Report | DOJ/DOJADM | 2021-08-31 | Active | Revision of a currently approved collection
COPS Progress Report
Key Information
Abstract
Under the Violent Crime and Control Act of 1994, the U.S. Department of Justice COPS Office requires programmatic progress reports from active COPS grantees in order to monitor each program, project or activity funded by the COPS Office. |
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| 202108-2060-005 | NSPS for Sulfuric Acid Plants (40 CFR Part 60, Subpart H) (Renewal) | EPA/OAR | 2021-08-31 | Active | Extension without change of a currently approved collection
NSPS for Sulfuric Acid Plants (40 CFR Part 60, Subpart H) (Renewal)
Key Information
Abstract
The New Source Performance Standards (NSPS) for Sulfuric Acid Plants (40 CFR Part 60 Subpart H) apply to both existing facilities and new facilities. New facilities include those that commenced construction, modification or reconstruction after the date of proposal. A sulfuric acid plant is any facility producing sulfuric acid (H2SO4) by the contact process by burning elemental sulfur, alkylation acid, hydrogen sulfide, organic sulfides and mercaptans, or acid sludge. A sulfuric acid plant does not include facilities where conversion to sulfuric acid is used primarily as a means of preventing emissions to the atmosphere of sulfur dioxide (SO2) or other sulfur compounds. In general, all NSPS standards require initial notifications, performance tests, and periodic reports by the owners/operators of the affected facilities. They are also required to maintain records of the occurrence and duration of any startup, shutdown, or malfunction in the operation of an affected facility, or any period during which the monitoring system is inoperative. These notifications, reports, and records are essential in determining compliance, and are required of all affected facilities subject to NSPS. |
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| 202108-1625-003 | PROSPECT QUESTIONNAIRE, CHAT NOW QUESTIONNAIRE, AND THE OFFICER PROGRAM APPLICATION | DHS/USCG | 2021-08-30 | Active | Extension without change of a currently approved collection
PROSPECT QUESTIONNAIRE, CHAT NOW QUESTIONNAIRE, AND THE OFFICER PROGRAM APPLICATION
Key Information
Abstract
Collection of information is required to initiate enlistment of US Coast Guard enlisted personnel and commissioned officers. 14 USC 468 authorizes the United States Coast Guard to recruit personnel for military service. The information requested on the gocoastguard.com web site is collected in accordance with Section 503 of Title 10, United States Code, and may only be used to identify and process individuals interested in applying for enlistment or commission in the United States Coast Guard or Coast Guard Reserve. Records are maintained at USCG Headquarters in Washington, DC and recruiting offices. |
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| 202108-0551-001 | Specialty Sugar Certificate Application | USDA/FAS | 2021-08-30 | Active | Revision of a currently approved collection
Specialty Sugar Certificate Application
Key Information
Abstract
Collection of information is necessary to fulfill obligations of the regulation at 15 CFR 2011 subpart B to issue specialty sugar certificates, letters to importers signed by the FAS Certifying Authority, and to ensure that U.S. importers comply with requirements. The regulation sets forth the terms and conditions under which the Certifying Authority in FAS issues certificates to importers allowing them to compete to enter specialty sugars under the tariff-rate quota (TRQ) for refined sugar. |
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