Change Requests

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High-Frequency Surveys Program, Household Trends and Outlook Pulse Survey NSC

Key Information

Abstract

The High-Frequency Surveys Program was established as a natural progression from the creation of the Household Pulse Survey. The Census Bureau developed the Household Pulse Survey to produce near real-time data in a time of urgent and acute need to inform federal and state action in response to the Covid-19 pandemic. Changes in the measures over time provided insight into individuals’ experiences on social and economic dimensions during the period of the pandemic. It has evolved to include content on other emergent social and economic issues facing households and is designed to supplement the federal statistical system’s traditional benchmark data products with a new data source that provides relevant and timely information based on a high-quality sample frame, data integration, and cooperative expertise. In January 2025, the HPS and CHP will be relaunched as the Household Trends and Outlook Pulse Survey (HTOPS). The HTOPS will continue the strong tradition of the HPS by rapidly providing insight into national events that have social and economic impacts on U.S. households. It will complement more traditional federal surveys by producing data much closer to real time as the events develop and with the new longitudinal design, have the ability to track changes over time. Along with HPS content, the survey will enable the Census Bureau to address research and content development needs for its census and survey programs. The HTOPS will be one more tool among the Census Bureau's data collection efforts to provide the nation with quality, up-to-date information that informs our future.

Federal Register Notices

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

Authorizing Statutes

13 USC 8(b), 182, 193, 141	View Law

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Application for Naturalization

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The information collected on this form is used by lawful permanent residents seeking to become naturalized citizens of the United States. The U.S. Citizenship and Immigration Services (USCIS) uses this form to determine an applicant's eligibility for naturalization.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

8 USC 1427	View Law

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Application for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; & Declaration of Law Enforcement Officer for Victim of Trafficking in Persons

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The information on all three parts of the form will be used to determine whether applicants meet the eligibility requirements for benefits. This application incorporates information pertinent to eligibility under the Victims of Trafficking and Violence Protection Act (VTVPA), Public Law 106-386, and a request for employment.

Federal Register Notices

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

Authorizing Statutes

Pub.L. 106 - 386 107(e)	View Law

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Application for Significant Public Benefit Entrepreneur and Instructions for Data Reporting Supplement

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USCIS is submitting this request because DHS is proposing to require an alien seeking entrepreneur parole under its proposed rule, "Significant Public Benefit Parole for Entrepreneurs," to file Form I-941 and, when applicable, Form I-941A, to demonstrate that he or she meets the eligibility criteria for entrepreneur parole based on significant public benefit. Based on his or her grant of parole, the alien's dependent spouse and children will also be eligible to request this parole.

Federal Register Notices

60-Day FRN	View Notice
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Authorizing Statutes

8 USC 1182	View Law

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Biographic Information (for Deferred Action)

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The information to be collected will be used by USCIS to determine eligibility of discretionary deferred action for either military deferred action or non-military deferred action (other than deferred action based on DACA, Violence Against Women Act, A-3, G-5, and T and V nonimmigrant visas). For military deferred action, spouses, parents, sons, and daughters of individuals serving on active duty in the U.S. armed forces, serving in the Selected Reserve of the Ready Reserve, or who previously served on active duty or in the Selected Reserve of the Ready Reserve (who were not dishonorably discharged), whether they are living or deceased, and enlistees in the Delayed Entry Program (DEP) will submit Form G-325A as part of their request. For non-military deferred action requests, individuals who are noncitizens who are unlawfully present in the United States who seek to remain in the United Stated will submit Form G-325A as part of their request.

Federal Register Notices

60-Day FRN	View Notice
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Authorizing Statutes

8 USC 1103	View Law

8 USC 1324a	View Law

42 USC 405	View Law

8 USC 1158	View Law

8 USC 1225	View Law

8 USC 1228	View Law

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Application for Advance Permission to Enter as a Nonimmigrant (Pursuant to Section 212(d)(3)(A)(ii) of the INA, Section 212(d)(13) of the INA, or Section 212(d)(14) of the INA)

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This form is provided by the U.S. Citizenship and Immigration Services (USCIS) as a means for certain inadmissible nonimmigrant aliens to apply for permission to enter the United States. This form is also used by U.S. Customs and Border Protection (CBP), to grant temporary permission to certain inadmissible nonimmigrants who wish to enter the United States through a port of entry pursuant to section 212(d)(3) of the INA and 8 CFR 212.4. USCIS also uses this form to address inadmissibility issues for T (Victims of Severe Forms of Trafficking in Persons) and U (Victims of Criminal Activity) petitioners. This is in accordance with 8 CFR 212.16, 8 CFR 212.17 and 8 CFR 214.14.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

8 USC 1182	View Law

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Declaration of Financial Support

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The U.S. Department of Homeland Security (DHS) and consular officers of the Department of State (DOS) use Form I-134 to determine whether, at the time of the beneficiary’s application, petition, or request for certain immigration benefits, that beneficiary has sufficient financial support to pay for expenses for the duration of their temporary stay in the United States. Additionally, biographic information about the beneficiary provided on the Form I-134 will be used for biographic security screening and advance travel authorization by U.S. Customs and Border Protection (CBP). Prior to the transmission of this biographic information to CBP for this purpose, the beneficiary will be requested to confirm electronically the accuracy of the biographic information provided on their behalf by the Form I-134 respondent/supporter.

Federal Register Notices

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

Authorizing Statutes

8 USC 1184	View Law

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Application for Travel Document

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This application is used by permanent residents or conditional residents, refugees or asylees, and aliens aboard seeking to apply for a travel document to lawfully reenter the United States or to be paroled for humanitarian purposes into the United States.

Federal Register Notices

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

Authorizing Statutes

8 USC 1103	View Law

8 USC 1203	View Law

8 USC 1158	View Law

8 USC 1204	View Law

8 USC 1182	View Law

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Administration of the Longshore and Harbor Workers' Compensation Act

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The regulations and forms cover the submission of information relating to the processing of claims for benefits under the Longshore Act and extensions.

Federal Register Notices

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

Authorizing Statutes

33 USC 944	View Law

33 USC 939	View Law

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Application to Register Permanent Residence or Adjust Status

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The information on Form I-485 will be used to request and determine eligibility for adjustment of permanent residence status. Supplement A is used to adjust status under section 245(i) of the Immigration and Nationality Act (Act).

Federal Register Notices

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

Authorizing Statutes

8 USC 1255	View Law

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NCA Customer Satisfaction Surveys

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The information will be used to improve the quality of VA services and help shape the direction and focus of specific programs and services.

Federal Register Notices

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Petition for U Nonimmigrant Status

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This petition permits victims of certain qualifying criminal activity and their immediate family members to apply for temporary nonimmigrant classification. This nonimmigrant classification provides temporary immigration benefits, potentially leading to permanent resident status, to certain victims of criminal activity who: suffered substantial mental or physical abuse as a result of having been a victim of criminal activity; have information regarding the criminal activity; and assist government officials in investigating and prosecuting such criminal activity.

Federal Register Notices

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

Authorizing Statutes

18 USC 1351	View Law

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Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement

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The Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement (DS-5504) is the form used by current passport holders who need to re-apply for a new passport within one year of the date of issuance for the following conditions: a) the passport holder's name has changed within the first year of the issuance of the passport; b) the passport holder needs correction of descriptive information on the data page of the passport; c) the passport holder wishes to obtain a fully valid passport after obtaining a full-fee passport with a limited validity of two years or less.

Federal Register Notices

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

Authorizing Statutes

22 USC 211a	View Law

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Domestic and International Clients Export Services and Customized Forms

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The International Trade Administration’s (ITA) is mandated by Congress to broaden and deepen the U.S. exporter base and to attract inward foreign direct investment. ITA accomplishes this by providing counseling, programs and services to help U.S. organizations export and conduct business in overseas markets. This information collection package enables ITA to provide appropriate export services to U.S. exporters and international buyers. The proposed categories of questions are: contact information, organization information, organization type, agreements and confirmations, objectives, products and services, exporting experience, marketing, events and activities, trade fair/show, certified trade missions, trade missions, advocacy, environment, and education. ITA asks only those questions that provide the required information to assist in fulfilling a client's objective for a requested service and/or event/activity.

Federal Register Notices

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

Authorizing Statutes

15 USC 4724	View Law

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Volunteer Service Application and Voluntary Intern Application

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NARA needs a standard way to recruit volunteers and identify the qualifications of potential volunteers. The NA Form 6045 is used by members of the public to signal their interest in being a NARA volunteer. NARA also uses voluntary (unpaid) interns to create a pipeline; bring fresh perspectives and ideas; and serve as NARA brand ambassadors. In February/March 2024, NARA submitted a Change Worksheet to OMB to add NA Form 3060A, Voluntary Intern Application, to this information collection request

Federal Register Notices

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30-Day FRN	View Notice

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U.S. Passport Renewal Application for Eligible Individuals

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The information collected on the DS-82 is used to facilitate the issuance of U.S. passports to U.S. citizens and nationals. The primary purpose of soliciting the information is to establish citizenship, identity, and entitlement to the issuance of a U.S. Passport or related service, and to properly administer and enforce the laws pertaining to the issuance thereof.

Federal Register Notices

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

Authorizing Statutes

22 USC 211a	View Law

8 USC 1104	View Law

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Title V State Sexual Risk Avoidance Education

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The Administration on Children, Youth and Families' (ACYF) Family and Youth Services Bureau (FYSB) publishes a notice of funding opportunity (NOFO) to solicit applications from states and territories for the development and implementation of the Title V State Sexual Risk Avoidance Education (SRAE) Program. The purpose of the Title V State SRAE Program is to fund states/territories to implement education exclusively on sexual risk avoidance that teaches youth participants to voluntarily refrain from non-marital sexual activity. States and territories are expected to submit plans for the implementation of sexual risk avoidance education that normalizes the optimal health behavior of avoiding non-marital sexual activity, with a focus being on the future health, psychological wellbeing, and economic success of youth. Further, the plans must address the social, psychological, and health gains to be realized by refraining from non-marital sexual activity and engaging in healthy relationships. This request is to make updates to remove equity-related indicators from the SRAE Performance Progress Report.

Federal Register Notices

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

Authorizing Statutes

Pub.L. 117 - 103 303	View Law

Pub.L. 115 - 123 50502	View Law

42 USC 710	View Law

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Medical Assessment Form and Dental Assessment Form

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The Medical Assessment Form was approved by OMB on October 26, 2023, as part of the Medical Assessment Form and Dental Assessment Form information collection. The purpose of the Medical Assessment Form is to collect standardized health information on unaccompanied children during evaluations with generalist medical providers, pediatricians, and other medical specialty providers. The following two Administration for Children and Families (ACF) Office of Refugee Resettlement (ORR) information collections capture health data on children in ORR care: • Medical Assessment Form and Dental Assessment Form • Mental Health Assessment Form and Public Health Investigation Form: Active TB, and Public Health Investigation Form: Non-TB Illness. ACF has implemented changes to update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with recent presidential directives.

Federal Register Notices

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

Authorizing Statutes

6 USC 279	View Law

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Office of Community Services Affordable Housing and Supportive Services Demonstration Data Collection

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The Affordable Housing and Supportive Services Demonstration (AHSSD) Data Collection (OMB #0970-0628) was originally approved in March 2024 and then revised in September 2024. The information collection includes individual-level survey instruments and on-site focus groups to collect information from program participants, onsite and virtual interviews to collect information from program staff, and report forms to capture service delivery and outcomes. ACF has implemented changes to remove language related to DEI and update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with the recent presidential directives.

Federal Register Notices

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

Authorizing Statutes

42 USC 1310	View Law

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State Court Improvement Program

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Authorizing legislation makes clear that an application is required in order for State courts to receive CIP funding. A copy of the statute is attached with this submission for review (Attachment A - SSA Section 438). There are two parts of the application, which are necessary to properly administer the State Court Improvement Program (CIP): an annual year-end self-assessment report with an updated strategic plan. A complete application is required from state courts every five years which includes the self-assessment and new strategic plan. Annually, the self-assessment should thoroughly be updated to reflect progress and challenges over the prior year. The strategic plan is to be written as a five-year plan which looks forward and is updated as needed annually. Because it is a high-level summary, and the two documents work in tandem, the primary burden annually is completing the more detailed self-assessment and updates to strategic plans are often minor notes that flow out of that review. These documents are required to monitor progress of the program according to statute. Both the self-assessment and strategic plan template were developed with in-depth grantee input and feedback. The goal has been to design a process and tools that meet reporting requirements but also serve as helpful documents to grantees in conducting their work. The Self-Assessment had one optional Diversity, Equity, Inclusion, and Accessibility question and one bulleted item in another question that we request be removed to comply with the above Executive Orders. The Strategic Plan template did not have any items relevant to the following Executive Orders: Ending Radical and Wasteful Government Diversity, Equity, and Inclusion Programs and Preferencing and Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government

Federal Register Notices

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

Authorizing Statutes

42 USC 629h	View Law

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Office of Human Services Emergency Preparedness and Response Disaster Human Services Case Management Intake Assessment, Resource Referral, and Case Management Plan

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The Administration for Children and Families (ACF) is requesting an extension with no changes to this information collection, which was originally approved in October 2023 through an emergency review, as authorized under 44 U.S.C. 3507 (subsection j). The forms under this request enable ACF’s Office of Human Services Emergency Preparedness and Response (OHSEPR) to provide case management support during disasters. The Disaster Human Services Case Management (DHSCM) program is authorized through appropriations language under the Children and Families Services account. It is operated by the Administration for Children and Families' (ACF) Office of Human Services Emergency Preparedness and Response (OHSEPR). OHSEPR is the lead in the Department for Health and Human Services (HHS) for human service preparation for, response to, and recovery from, natural disasters. The materials included in this request are necessary for OHSEPR to provide responsive disaster human services case management operations to support families that are currently displaced. The Administration for Children and Families (ACF) has updated the Disaster Human Services Intake Assessment Form to comply with Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government (Defending Women). The remaining four forms are already in compliance and do not require changes.

Federal Register Notices

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30-Day FRN	View Notice

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Low Income Home Energy Assistance Program (LIHEAP) Annual Report on Households Assisted

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The Low Income Home Energy Assistance Program (LIHEAP) block grant (42 U.S.C. 8621) was established under Title XXVI of the Omnibus Budget Reconciliation Act of 1981, P. L. 97-35. The Office of Community Services (OCS) within the Department of Health and Human Services' (DHHS) Administration for Children and Families (ACF) administers LIHEAP at the Federal level. The LIHEAP Household Report is an annual data collection effort conducted by OCS to collect information from LIHEAP grantees to meet statutory requirements and program objectives. The LIHEAP statute requires the collection of data on the number of households assisted, their income levels, and vulnerability group, by type of LIHEAP assistance, for inclusion in the Secretary’s annual LIHEAP Report to Congress. The data are collected through the LIHEAP Household Report, which consists of the following: (1) a Long Format for state grant recipients, the District of Columbia, and select territory grant recipients, and (2) a Short Format for tribal grant recipients and select territory grant recipients. OCS has updated the report to update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with recent Presidential directives.

Federal Register Notices

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

Authorizing Statutes

42 USC 8629	View Law

42 USC 8621	View Law

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SOAR Demonstration Grant Program Data

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The SOAR (Stop, Observe, Ask, Respond) to Health and Wellness Training (SOAR) Demonstration Grant Program was developed in response to the Trafficking Victims Protection Act of 2000 (Public Law 106-386), § 106(b), as amended (22 U.S.C. 7104(b)(1) and 22 U.S.C. 7105(b)(1)(B), which calls on agencies to “increase public awareness of the dangers of trafficking and the protections that are available for victims of trafficking” and provide “services to assist potential victims of severe forms of trafficking in persons.” The program’s goal is to fund the implementation of SOAR trainings and capacity building efforts to identify, treat, and respond to patients or clients who have experienced severe forms of human trafficking as defined by the Trafficking Victims Protection Act (TVPA) of 2000, as amended, among their patient or client population. SOAR is a nationally recognized, accredited training program delivered by OTIP’s National Human Trafficking Training and Technical Assistance Center (NHTTAC) and designed to help target audiences identify and respond to those who are at risk of, are currently experiencing, or have experienced trafficking and connect them with needed resources. This information collection will enable OTIP to measure grant project performance, provide technical assistance to grant recipients, assess program outcomes, inform program evaluation, respond to congressional inquiries and mandated reports, including required contributions to the annual Attorney General’s Annual Report to Congress on U.S. Government Activities to Combat Trafficking in Persons. ACF has implemented changes to update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with recent presidential directives.

Federal Register Notices

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

Authorizing Statutes

Pub.L. 106 - 386 106(b)	View Law

22 USC 7104(b)(1)	View Law

22 USC 7105(b)1(B)	View Law

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Mental Health Assessment Form, Public Health Investigation Form: Active TB, and Public Health Investigation Form: Non-TB Illness

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Abstract

The Mental Health Assessment Form was approved by OMB on September 16, 2023, as part of the Mental Health Asessment Form, Public Health Investigation Form: Active TB, and Public Health Investigation Form: Non-TB Illness Form information collection. The purpose of the Mental Health Assessment is to collect standardized health information on unaccompanied children during evaluations with mental health providers. The following two Administration for Children and Families (ACF) Office of Refugee Resettlement (ORR) information collections capture health data on children in ORR care: • Medical Assessment Form and Dental Assessment Form • Mental Health Assessment Form and Public Health Investigation Form: Active TB, and Public Health Investigation Form: Non-TB Illness. ORR has recently identified a specific need to share data collected on ORR’s health assessment forms that falls outside of the stated limitations with the Department of Homeland Security (DHS). The need to communicate with DHS occurs when a newly referred child arrives at an ORR facility ill or requires emergent/urgent healthcare services shortly after placement and ORR was not notified in advance. For DHS to investigate the event, ORR must share confidential and sensitive health information including the child’s alien number, name, signs/symptoms, diagnoses, and date of diagnosis. The goal of this data sharing effort is to identify areas of potential improvement in delivery of healthcare services and continuity of care for children transferred from DHS to HHS custody. ACF has implemented changes to update gender collected data to denote sex as a biological variable in current approved information collection requests to comply with recent presidential directives.

Federal Register Notices

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

Authorizing Statutes

6 USC 279	View Law

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Tribal TANF Data Report, Tribal Annual Report and Tribal TANF Reasonable Cause/Corrective Action Documentation Process

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Abstract

The Personal Responsibility and Work Opportunity Re¬conciliation Act of 1996 (PRWORA) amended the Social Security Act and created the opportunity under §412 for Federally recognized Indian Tribes to design and operate their own Temporary Assistance for Needy Families (Tribal TANF) programs. Subject to approval by the Federal government of their plans, Tribes can receive block grants from the Federal government for this purpose (Tribal grantees). Indian Tribes and Tribal organizations are defined by PRWORA as having (except for Alaska) the meaning given such terms by section 4 of the Indian Self - Determina¬tion and Educa¬tion Assistance Act (25 U.S.C. 450b). For Alaska, the non-profit arms of the Alaskan Native Corporations and the Metlakatla Indian Community, Annette Island Reserve are specified as the only entities eligible to be Tribal TANF grantees. Section 412(g) of PRWORA imposed on Tribal grantees the data collection and reporting requirements of §411. Section 411(a)(1)(A) specifies the data items to be reported. Additional data collection requirements are imposed by §407 (work participation requirements) as modified by §412(c) ('negotiated' Minimum Work Participation Requirements and Time Limits) and §411(b) (Report to Congress). The data are used to assess Tribal TANF programs to determine if Tribal grantees have met their negotiated work participation rates and to meet Congressional mandated requirements of §411(a)(1)(A) of PRWORA. The data are also used to measure impacts of Tribal TANF for research and program improvement and to provide descriptions of the populations served, which are published annually on OFA’s website and in TANF’s annual report to Congress. Pursuant to the U.S. Office of Personnel Management (OPM) Initial Guidance Regarding Executive Order Defending Women provided on January 29, 2025, OFA proposes a few minor changes to the Tribal TANF Data Report Instructions to ensure alignment with OPM guidance. We are requesting expedited approval of these minor changes.

Federal Register Notices

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

Authorizing Statutes

42 USC 612	View Law

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