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.
Note: Presidential Action influences are notated for ICRs received between January 20, 2025 and July 19, 2025.
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| 202509-0938-024 | Medicare Registration Application (CMS-855O) | HHS/CMS | 2025-09-25 | Received in OIRA | Revision of a currently approved collection
Medicare Registration Application (CMS-855O)
Key Information
Abstract
The publication of the Patient Protection and Affordable Care Act (PPACA), section 6405 - "Physicians Who Order Items or Services Required to be Medicare Enrolled Physicians or Eligible Professionals" (regulation CMS 6010-F), contains a requirement for certain physicians and non-physician practitioners to enroll in the Medicare program for the sole purpose of ordering or referring items or services for Medicare beneficiaries. The PPACA has an effective date applicable to written orders and certifications made on or after July 1, 2010. The CMS 855O allows a physician to receive a Medicare identification number (without being approved for billing privileges) for the sole purpose of ordering and referring Medicare beneficiaries to Medicare approved providers and suppliers. This new Medicare application form allows physicians who do not provide services to Medicare beneficiaries to be given a Medicare identification number without having to supply all the data required for the submission of Medicare claims. It also allows the Medicare program to identify ordering and referring physicians without having to validate the amount of data necessary to determine claims payment eligibility (such as banking information), while continuing to identify the physician's credentials as valid for ordering and referring purposes. |
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| 202509-2577-003 | Jobs Plus Pilot Program | HUD/PIH | 2025-09-25 | Received in OIRA | Revision of a currently approved collection
Jobs Plus Pilot Program
Key Information
Abstract
The information is required to allow HUD to conduct a competition to award and obligate Jobs Plus grant funds in accordance with the FY 2014 Appropriations Act, which permits HUD to use up to $15M of the appropriation for Jobs Plus Initiative |
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| 202509-0938-023 | National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection (CMS-10749) | HHS/CMS | 2025-09-25 | Received in OIRA | Reinstatement without change of a previously approved collection
National Plan and Provider Enumeration System (NPPES) Supplemental Data Collection (CMS-10749)
Key Information
Abstract
The National Provider Identifier Application and Update Form is used by health care providers to apply for NPIs and furnish updates to the information they supplied on their initial applications. The form is also used to deactivate their NPIs if necessary. The original application form was approved in February 2005 and has been in use since May 23, 2005. The form is available on paper or can be completed via a web-based process. Health care providers can mail a paper application, complete the application via the web-based process via the National Plan and Provider Enumeration System (NPPES), or have a trusted organization submit the application on their behalf via the Electronic File Interchange (EFI) process. The Enumerator uses the NPPES to process the application and generate the NPI. NPPES is the Medicare contractor tasked with issuing NPIs, and maintaining and storing NPI data. The National Provider Identifier (NPI) Application processes over 1 million new provider and/or updates to existing application annually. |
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| 202509-0920-010 | [NCHHSTP] Aggregate Reports for Tuberculosis Program Evaluation | HHS/CDC | 2025-09-25 | Received in OIRA | Extension without change of a currently approved collection
[NCHHSTP] Aggregate Reports for Tuberculosis Program Evaluation
Key Information
Abstract
This collection is an extension of a currently approved under OMB Control No. 0920-0457. The purpose of this data collection is to continue to address the change in the national strategies for TB control and prevention, emphasizing the treatment of individuals with latent TB infection (LTBI). The data collection allows programs to continue to assess high-risk populations served and evaluate the adaptation and effectiveness of new diagnostic tests and drug regimens used in treating LTBI.CDC is requesting approval for 264 burden hours. |
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| 202509-2126-003 | FMCSA Complaint Center | DOT/FMCSA | 2025-09-25 | Active | No material or nonsubstantive change to a currently approved collection
FMCSA Complaint Center
Key Information
Abstract
FMCSA is seeking approval of a revision of the “National Consumer Complaint Database (NCCDB)" ICR, also know as the "FMCSA Complaint Center" ICR. FMCSA is modernizing its NCCDB complaint system and expanding the program. The six current collection instruments are being combined in one, central collection that can accommodate a total of 12 complaint categories. FMCSA maintains online information and resources to assist consumers, drivers, and others associated with the motor carrier industry to file complaints regarding household goods carriers, third party intermediaries (brokers and freight forwarders) and their financial responsibility providers, hazardous material (HM) carriers, property carriers, cargo tank facilities, and passenger carriers. The respondents of the collection therefore are the public, consumers, drivers, and the motor carrier industry. The NCCDB allows the public and FMCSA staff to submit complaints using an online form which lists individual violations of the Federal Motor Carrier Safety, Hazardous Material, and Commercial Regulations. The collection is voluntary and is one of reporting and disclosure. The purpose of the collection is to collect data by this system for FMCSA enforcement staff and state agencies to, among other things: help improve motor carrier safety enforcement; improve consumer protection by ensuring that moving companies use fair business practices; and identify and address passenger carrier discrimination and service issues. There is no determined collection frequency, the information is collected as needed. Complainants may visit the NCCDB online at http://nccdb.fmcsa.dot.gov, where they will be guided through the process of filing a complaint. The information reported and disclosed is information concerning the incident(s) that lead to different types of complaints concerning truck safety, moving companies, brokers, violations of the American Disabilities Act, bus safety, bus service, cargo tank facilities, and/or hazardous materials regulations. The online interface then leads them through the process by soliciting information about the incident giving rise to the complaint, contact information for the complainant (for follow up purposes), and company information. They also have the ability to upload supporting files/documents if any exist. DOT receives the information. At the end of the process, each complaint is submitted to the NCCDB, where it is directed to the proper FMCSA or DOT office for investigation. |
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| 202509-1513-002 | Application for Extension of Time for Payment of Tax; Application for Installment Agreement | TREAS/TTB | 2025-09-25 | Received in OIRA | Extension without change of a currently approved collection
Application for Extension of Time for Payment of Tax; Application for Installment Agreement
Key Information
Abstract
The Internal Revenue Code (IRC) at 26 U.S.C. 6161 authorizes the Secretary of the Treasury (the Secretary) to grant taxpayers up to 6 months of additional time to pay taxes due on any return required under the IRC. In addition, the IRC at 26 U.S.C. 6159 authorizes the Secretary to enter into a written agreement with a taxpayer to allow installment payments of taxes due if the Secretary determines such an agreement will facilitate full or partial payment. Under those IRC authorities, TTB has issued two taxpayer relief application forms, TTB F 5600.38 for time extension requests, and TTB F 5600.31 for installment payment agreement requests. Using the relevant form and any required supporting documentation, an excise taxpayer regulated by TTB identifies themselves, the specific excise tax and amount in question, their current financial situation, and the reasons why the requested taxpayer relief is necessary. TTB evaluates the provided information, records its decision to approve or disapprove the requested taxpayer relief on the submitted form, and notifies the applicant of its decision by returning a copy of the form. |
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| 202509-1513-003 | Airlines Withdrawing Stock from Customs Custody (TTB REC 5620/2) | TREAS/TTB | 2025-09-25 | Received in OIRA | Extension without change of a currently approved collection
Airlines Withdrawing Stock from Customs Custody (TTB REC 5620/2)
Key Information
Abstract
In general, under chapter 51 of the Internal Revenue Code (IRC), distilled spirits and wine produced in or imported into the United States are subject to Federal excise tax, but those taxes are subject to drawback (refund) when such products are subsequently exported from the United States, which, under 26 U.S.C. 5214 and 5362 includes the lading of such products as supplies on aircraft engaged in foreign flights. Also, under 19 U.S.C. 1309, those products may be withdrawn from customs custody without payment of tax for use as supplies on such aircraft. Additionally, those statutes authorize the Secretary of the Treasury to issue regulations regarding such withdrawals. Under its delegated authorities, the Alcohol and Tobacco Tax and Trade Bureau (TTB) alcohol export regulations in 27 CFR part 28 require airlines to keep certain records to account for distilled spirits and wine withdrawn from their stocks held in customs custody at airports for use as supplies on aircraft engaged in foreign flights. Accounting for such withdrawals, whether made subject to drawback or without payment of tax, is necessary to protect the revenue as the collected information allows TTB to verify export drawback claims and detect diversion of untaxed distilled spirits and wine into the domestic market. |
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| 202509-1513-004 | Letterhead Applications and Notices Relating to Wine (TTB REC 5120/2) | TREAS/TTB | 2025-09-25 | Received in OIRA | Extension without change of a currently approved collection
Letterhead Applications and Notices Relating to Wine (TTB REC 5120/2)
Key Information
Authorizing Statutes
26 USC 5661 - 5663 (View Law) 26 USC 5381 - 5388 (View Law) 26 USC 5351 - 5373 (View Law) 26 USC 5391 - 5392 (View Law) Abstract
Various provisions of chapter 51 of the Internal Revenue Code (IRC; 26 U.S.C. chapter 51) govern aspects of the production, treatment, and labeling of wine or authorize the Secretary of Treasury (the Secretary) to issue regulations regarding such matters. Under those IRC authorities, the Alcohol and Tobacco Tax and Trade Bureau (TTB) regulations in 27 CFR part 24 require wine premise proprietors to submit letterhead applications or notices to TTB when they desire to use alternate regulatory compliance methods or procedures or when they desire to undertake certain specified operations, particularly those that affect a wine's potential tax liability. In general, operations posing a greater jeopardy to the revenue require submission of letterhead applications subject to TTB approval, while operations posing less jeopardy to the revenue require submission of letterhead notices that do not require TTB pre-approval. This information collection is necessary to ensure that proposed alternative methods or procedures and wine operations comply with relevant laws and regulations, and do not jeopardize the revenue. |
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| 202507-3235-013 | Rule 18a-4, Segregation requirements for security-based swap dealers and major security-based swap participants | SEC | 2025-09-25 | Received in OIRA | Extension without change of a currently approved collection
Rule 18a-4, Segregation requirements for security-based swap dealers and major security-based swap participants
Key Information
Authorizing Statutes
Abstract
Rule 18a-4, 17 CFR 240.18a-4, establishes customer protection and segregation requirements for all firms required to register with the SEC under the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 as security-based swap dealers and major security-based swap participants. The information collection requirements in the rule are recordkeeping and third-party disclosure requirements related to the customer protection and segregation standards to ensure that firms do not misappropriate customer assets for their own or other unauthorized uses. |
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| 202507-3235-012 | Rule 19b-4(e) under the Securities Exchange Act of 1934 | SEC | 2025-09-25 | Received in OIRA | Extension without change of a currently approved collection
Rule 19b-4(e) under the Securities Exchange Act of 1934
Key Information
Abstract
Rule 19b-4(e), 17 CFR 240.19b-4(e), permits a self-regulatory organization (SRO) to list and trade a new derivative securities product without submitting a proposed rule change pursuant to Section 19(b) of the Securities Exchange Act of 1934, so long as such product meets the criteria of Rule 19b-4. Rule 19b-4(e) requires an SRO to publicly report certain information on its internet website using the most recent versions of the XML schema and the associated PDF renderer as published on the Commission's website for each new derivative securities product within five business days of beginning to trade such new derivative securities product. The collection of information is a third-party disclosure requirement and is used to maintain an accurate record of all new derivative securities products traded on the SROs. |
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| 202509-1513-001 | Information Collected in Support of Wine Producer Tax Credit Transfers (TTB REC 5120/11) | TREAS/TTB | 2025-09-25 | Received in OIRA | Extension without change of a currently approved collection
Information Collected in Support of Wine Producer Tax Credit Transfers (TTB REC 5120/11)
Key Information
Abstract
Under the Internal Revenue Code (IRC) at 26 U.S.C. 5041(c), importers and domestic producers may take certain tax credits on specified quantities of wine, including hard cider, imported or removed from their premises during a calendar year. In addition, under that IRC section, domestic producers may transfer their wine tax credits to other bonded premises ("transferees") that store their wine and ship it on their instructions, provided that the producer supplies such transferees with the information necessary to properly determine the transferee’s allowable tax credits. Under that IRC authority, the Alcohol and Tobacco Tax and Trade Bureau (TTB) regulations in 27 CFR part 24 require wine producers to provide such transferees with a written record containing certain information regarding the producer, transferee, the wine, its tax rate, its removal, and the tax credits involved. The required information may be supplied and maintained using usual and customary business records such as shipping invoices. The required information is necessary to ensure that the IRC provisions regarding wine producer tax credits and their transfer are properly applied. |
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| 202507-3235-008 | Rule 12d1-3 | SEC | 2025-09-25 | Received in OIRA | Extension without change of a currently approved collection
Rule 12d1-3
Key Information
Abstract
Rule 12d1-3 (17 CFR 240.12d1-3) under the Securities Exchange Act of 1934 (the “Exchange Act”) is one of a series of regulations that sets forth the procedures to be followed in the process of listing securities for trading on a national securities exchange. The rule requires the governing committee or other corresponding authority of the exchange to certify to the Commission that a particular class of an issuer’s securities has been approved for listing by the exchange. The certification provided to the Commission must contain the following information: (1) the approval of the exchange for listing and registration; (2) the title of the security so approved; (3) the date of filing with the exchange of the application for registration and of any amendments thereto; and (4) any conditions imposed on such certification. The certification process works in conjunction with the Commission’s review of the issuer’s registration under Section 12 of the Exchange Act in order that the issuer’s Exchange Act registration statement may be declared effective by the Commission at the same time that the class of securities in question is approved for listing on a national securities exchange. Certifications pursuant to Rule 12d1-3 are filed with the Commission by national securities exchanges. The certification notifies the Commission’s staff that the class of securities covered by the certification has been approved for listing on an exchange and indicates any conditions imposed on the listing. |
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| 202509-1557-003 | Interagency Appraisal Complaint Form | TREAS/OCC | 2025-09-24 | Active | No material or nonsubstantive change to a currently approved collection
Interagency Appraisal Complaint Form
Key Information
Abstract
Section 1473(p) of the Dodd-Frank Wall Street Reform and Consumer Protection Act provides that if the Appraisal Subcommittee (ASC) of the Federal Financial Institutions Examination Council (FFIEC) determines, six months after enactment of that section (i.e., January 21, 2011), that no national hotline exists to receive complaints of non-compliance with appraisal independence standards and Uniform Standards of Professional Appraisal Practice (USPAP), then the ASC shall establish and operate such a hotline (ASC Hotline). The statute requires that the ASC Hotline shall include a toll-free telephone number and an email address. Section 1473(p) further directs the ASC to refer complaints received through the ASC Hotline to the appropriate government bodies for further action, which may include referrals to the OCC, the Federal Reserve Board (Board), the Federal Deposit Insurance Corporation (FDIC), the National Credit Union Administration (NCUA), the Consumer Financial Protection Bureau (CFPB), and State agencies. On January 12, 2011, the ASC determined that a national appraisal hotline did not exist, and a notice of that determination was published in the Federal Register on January 28, 2011, (76 FR 5161). As a result, the ASC established a hotline to refer complaints to appropriate federal and state regulators. Representatives from the OCC, the Board, the FDIC, the NCUA, (Agencies) and the CFPB met and established a process to facilitate the referral of complaints received through the ASC Hotline to the appropriate federal financial institution regulatory agency or agencies. The Agencies developed the Interagency Appraisal Complaint Form to collect information necessary to take further action on the complaint. The CFPB incorporated the process into one of their existing systems. The Interagency Appraisal Complaint Form was developed for use by those who wish to file a formal, written complaint that an entity subject to the jurisdiction of one or more of the Agencies, has failed to comply with the appraisal independence standards or USPAP. The Interagency Appraisal Complaint Form is designed to collect information necessary for the Agencies to take further action on a complaint from an appraiser, other individual, financial institution, or other entities. The Agencies use the information to take further action on the complaint to the extent the complaint relates to an issue within their jurisdiction. |
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| 202509-1090-002 | Federal Subsistence Regulations and Associated Forms, 43 CFR 51 | DOI/ASPMB | 2025-09-24 | Active | New collection (Request for a new OMB Control Number)
Federal Subsistence Regulations and Associated Forms, 43 CFR 51
Key Information
Abstract
The Alaska National Interest Lands Conservation Act (ANILCA) mandates that rural residents of Alaska receive priority for subsistence uses of fish and wildlife. In 1989, the Alaska Supreme Court ruled that ANILCA's rural priority violated the Alaska Constitution. As a result, the Federal Government manages subsistence uses on Federal public lands and waters in Alaska--about 230 million acres or 60 percent of the land within the State. Title VIII of ANILCA (16 U.S.C. 3111-3126) designates the Departments of the Interior and Agriculture as the key agencies responsible for implementing the subsistence priority on Federal public lands. To help carry out subsistence management responsibilities, the Secretaries of the Interior and Agriculture established the Federal Subsistence Management Program. Regulations implementing the Federal Subsistence Management Program on Federal public lands within Alaska are in the Code of Federal Regulations (50 CFR 100 and 36 CFR 242). The Federal Subsistence Management Program is a multi-agency effort to provide the opportunity for a subsistence way of life by rural Alaskans on Federal public lands and waters while maintaining healthy populations of fish and wildlife. Subsistence fishing and hunting provide a large share of the food consumed in rural Alaska. The State's rural residents harvest about 22,000 tons of wild foods each year--an average of 375 pounds per person. Fish make up about 60 percent of this harvest Statewide. |
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| 202509-1090-004 | Common Forms Associated with Federal Subsistence Regulations, 43 CFR 51 and 36 CFR 242 | DOI/ASPMB | 2025-09-24 | Active | New collection (Request for a new OMB Control Number)
Common Forms Associated with Federal Subsistence Regulations, 43 CFR 51 and 36 CFR 242
Key Information
Abstract
The Alaska National Interest Lands Conservation Act (ANILCA) mandates that rural residents of Alaska receive priority for subsistence uses of fish and wildlife. In 1989, the Alaska Supreme Court ruled that ANILCA's rural priority violated the Alaska Constitution. As a result, the Federal Government manages subsistence uses on Federal public lands and waters in Alaska--about 230 million acres or 60 percent of the land within the State. Title VIII of ANILCA (16 U.S.C. 3111-3126) designates the Departments of the Interior and Agriculture as the key agencies responsible for implementing the subsistence priority on Federal public lands. To help carry out subsistence management responsibilities, the Secretaries of the Interior and Agriculture established the Federal Subsistence Management Program. Regulations implementing the Federal Subsistence Management Program on Federal public lands within Alaska are in the Code of Federal Regulations (50 CFR 100 and 36 CFR 242). The Federal Subsistence Management Program is a multi-agency effort to provide the opportunity for a subsistence way of life by rural Alaskans on Federal public lands and waters while maintaining healthy populations of fish and wildlife. Subsistence fishing and hunting provide a large share of the food consumed in rural Alaska. The State's rural residents harvest about 22,000 tons of wild foods each year--an average of 375 pounds per person. Fish make up about 60 percent of this harvest Statewide. |
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| 202509-1405-005 | Smart Traveler Enrollment Program (STEP) | STATE/AFA | 2025-09-24 | Received in OIRA | No material or nonsubstantive change to a currently approved collection
Smart Traveler Enrollment Program (STEP)
Key Information
Abstract
This is an on line Internet Based system to permit U.S. citizens residing or traveling aboard to register their destination and emergency contacts with the Department of State. This wll permit the Department and our Embassies and Consulates abroad to communicate with U.S. citizens during periods of crisis or disaster, and provide emergency assistance. |
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| 202509-3060-019 | Section 76.1618, Basic Tier Availability | FCC | 2025-09-24 | Received in OIRA | Extension without change of a currently approved collection
Section 76.1618, Basic Tier Availability
Key Information
Abstract
Section 76.1618 states that a cable operator shall provide written notification to subscribers of the availability of basic tier service to new subscribers at the time of installation. This notification shall include the following information: (a) that basic tier service is available; (b) the cost per month for basic tier service; and (c) a list of all services included in the basic service tier. |
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| 202509-1557-002 | Customer Complaint Form | TREAS/OCC | 2025-09-24 | Active | No material or nonsubstantive change to a currently approved collection
Customer Complaint Form
Key Information
Abstract
The Customer Complaint Form was developed as a courtesy for those who contact the OCC's Customer Assistance Group and wish to file a formal, written complaint. |
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| 202509-3060-016 | Determining Costs of Regulated Cable Equipment and Installation, FCC Form 1205 | FCC | 2025-09-24 | Received in OIRA | Revision of a currently approved collection
Determining Costs of Regulated Cable Equipment and Installation, FCC Form 1205
Key Information
Abstract
Cable operators file FCC Form 1205 to calculate costs associated with regulated equipment and installation for the basic service tier and the maximum permitted charges for such equipment and installations and to comply with 47 CFR Section 76.923(m). FCC Form 1205 filings are reviewed by local franchising authorities (LFAs) (or the Commission where it is certified to regulate basic tier services on behalf of local franchising authorities). Section 76.923(m) states that cable operators shall maintain adequate documentation to demonstrate that charges for the sale and lease of equipment and for installations have been developed in accordance with the Commission’s rules. The Commission modified the language in 47 CFR 76.923 in 90 FR 31145 (July 14, 2025), FCC 25-33, to exclude from regulation equipment that is used to receive tiers other than the basic tier of service. Due to this exclusion, fewer FCC Form 1205 filings will be filed with the Commission. Therefore, Commission is requesting approval of this revision to the information collection that reduces the paperwork burden. |
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| 202509-3060-017 | FCC FORM 2100, SCHEDULE 302-AM – AM STATION LICENSE APPLICATION | FCC | 2025-09-24 | Active | Extension without change of a currently approved collection
FCC FORM 2100, SCHEDULE 302-AM – AM STATION LICENSE APPLICATION
Key Information
Abstract
FCC Form 2100, Schedule 302-AM is used by licensees when applying for a new or modified station license, and/or to notify the Commission of certain changes in the licensed facilities of these stations. The data is used by FCC staff to confirm that the station has built to terms specified in the outstanding construction permit. Data is then extracted for inclusion in the subsequent license to operate the station. |
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