Change Requests

Key Information

Previous ICR	202207-1545-010

Federal Register Notices

Authorizing Statutes

Abstract

The primary purpose of these forms is to provide a method of reporting identity theft issues to the IRS so that the IRS may document situations where individuals or businesses are or may be victims of identity theft. Additional purposes include the use in the determination of proper tax liability and to relieve taxpayer burden. The information may be disclosed only as provided by 26 U.S.C 6103.

Key Information

Previous ICR	202412-1210-005

Federal Register Notices

Authorizing Statutes

Abstract

The Health Insurance Portability and Accountability Act of 1996 (HIPAA), codified as part 7 of title I of the Employee Retirement Security Act of 1974 (ERISA), was enacted to improve the portability and continuity of health care coverage for participants and beneficiaries of group health plans. HIPAA also added section 101(g) to ERISA, providing the Secretary of Labor (Secretary) with authority to require, by regulation, multiple employer welfare arrangements (MEWAs) as defined in section 3(40) of ERISA, that offer or provide coverage for medical benefits but which are not group health plans (non-plan MEWAs), to report annually for the purpose of determining compliance with part 7 requirements. While the statutory authority was directed at non-plan MEWAs, based on the authority in ERISA sections 101(g), 505, and 734, the Department of Labor (Department) in 2003 promulgated a regulation at 29 CFR 2520.101-2 that required the administrators of both plan MEWAs and non-plan MEWAs that offer or provide coverage for medical benefits, as well certain entities that claim not to be a MEWA solely due to the exception in section 3(40)(A)(i) of ERISA (referred to as “Entities Claiming Exception” or “ECEs”), to file the Form M-1 on an annual basis (Form M-1 annual report). The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (these are collectively known as the “Affordable Care Act” or “ACA”) amended section 101(g) of ERISA to require non-plan MEWAs that provide benefits consisting of medical care to register with the Secretary before operating in a State. In 2011, the Department amended the Form M-1 reporting regulations to enact the ACA required provisions by requiring all MEWAs (plan and non-plan MEWAs) that offer or provide coverage for medical benefits and ECEs to register with the Secretary upon occurrence of certain registration events, such as prior to operating in a State, in addition to continued reporting on an annual basis regarding compliance with part 7 of ERISA.

Key Information

Federal Register Notices

Abstract

The Healthcare Competition Complaint form facilitates reporting by members of the public of complaints, concerns, or information regarding potential antitrust violations. Respondents will be able to complete and submit information electronically through the Healthcare Competition Complaint form on the Department of Justice’s website.

Key Information

Previous ICR	202208-3235-014

Federal Register Notices

Authorizing Statutes

Abstract

Paragraph (b) of Rule 17a-13 (17 CFR 240.17a-3) generally requires that at least once each calendar quarter, all registered broker-dealers physically examine and count all securities held and account for all other securities not in their possession, but subject to the broker-dealer’s control or direction. Any discrepancies between the broker-dealer’s securities count and the firm’s records must be noted and, within seven days, the unaccounted for difference must be recorded in the firm’s records.  Paragraph (c) of Rule 17a-13 provides that under specified conditions, the securities count, examination, and verification of a broker-dealer’s entire list of securities may be conducted on a cyclical basis rather than on a certain date.  Although Rule 17a-13 does not require a broker-dealer to file a report with the Commission, discrepancies between a broker-dealer’s records and its securities count may be required to be reported, for example, as a loss on Form X-17A-5 (17 CFR 248.617), which must be filed with the Commission under Exchange Act Rule 17a-5.  Rule 17a-13 exempts broker-dealers that limit their business to the sale and redemption of securities of registered investment companies or interests or participation in an insurance company separate account and those who solicit accounts for federally insured savings and loan associations, provided that such persons promptly transmit all funds and securities and hold no customer funds and securities.  Rule 17a-13 also does not apply to certain broker-dealers required to register only because they effect transactions in securities futures products.  Rule 17a-13 requires the recording of only those differences in the broker-dealer’s records that remain unresolved seven business days after the date of the examination, count, and verification.  The Commission or the self-regulatory organization (“SRO”) designated as the broker-dealer’s examining authority may examine these recorded discrepancies in a broker-dealer’s records to determine whether they are the result of the firm’s inability to maintain control of its business.

Key Information

Previous ICR	202209-3235-007

Federal Register Notices

Authorizing Statutes

Abstract

Rule 17a-6 (17 CFR 270.17a-6) under the Investment Company Act of 1940 (the “Act”), permits a fund, or a company controlled by the fund and a “portfolio affiliate,” to engage in principal transactions in which it is unlikely that the portfolio affiliate would be in a position to take advantage of the fund (i.e., there is a material financial interest in the transaction). A fund cannot rely on rule 17a-6, if the fund’s directors, employees or investment adviser) have a financial interest in a party to the principal transaction. Rule 17a-6 defines what interests are not “financial interests” for purposes of the exemption. For certain types of “financial interests”, for a fund to rely on rule 17a-6, the fund’s board, including a majority of the directors who are not interested persons of the fund, must find that the that the “financial interests” are not material to the decision to enter into the principal transaction. In addition, the board is required to record the basis for its decision in its meeting minutes.

Key Information

Previous ICR	202202-1652-003

Federal Register Notices

Authorizing Statutes

Abstract

The Airspace Waiver program allows aircraft operators to request permission to fly in restricted airspace. The information collected through the Airspace Waiver applications will enable TSA to perform a background check on each individual on the aircraft seeking to fly under the waiver. The affected public consists of aircraft operators of the general aviation community.

Key Information

Previous ICR	202501-0535-002

Federal Register Notices

Authorizing Statutes

Abstract

The National Agricultural Statistics Service (NASS) is submitting a substantive change request to revise the currently approved information collection for the Cooperator Funded Chemical Use Surveys (OMB No. 0535-0273). This change pertains to the upcoming 2026 Minnesota Pesticide and Fertilizer Survey. While the purpose, goals, and overall content theme of the survey remain consistent with the original OMB-approved version, several questionnaire items have been reworded, clarified, or replaced to improve data quality and respondent comprehension. These updates are intended to enhance the accuracy and usability of the reported data without altering the scope or intent of the survey. The sample size and estimated respondent burden remain unchanged from the previous approval. The revised questionnaire will be used for phone enumeration beginning in February 2026, as requested by the client.

Key Information

Previous ICR	202211-1545-008

Federal Register Notices

Authorizing Statutes

Abstract

Internal Revenue Code (IRC) sections 871, 877A, 1441, 1442, 1445, 1446, 1471, 1472, 5000C, and 6049 require withholding agents to deduct and withhold specified amounts of income paid to certain expatriates, nonresident aliens, foreign persons, foreign partnerships, and foreign corporations for tax liabilities under IRC Subtitle A. IRC sections 1461 and 1474, and their associated regulations, make these withholding agents liable for such tax and require reporting of taxes and payments to the IRS. Treasury Regulations section 1.871-15(p) was added by Treasury Decision (TD) 9734, as amended by TD 9815, as amended by TD 9887. This regulation provides that any party to an IRC section 871(m) transaction may request information regarding that transaction from another party to the transaction. There is no prescribed form required. Any statement required by section 1.871-15(p) may be provided in paper or electronic form. The regulation allows taxpayers to share information in any reasonable manner agreed to by the parties. See 1.871-15(p)(3)(i). Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons, is used by withholding agents to report tax amounts withheld from payments to certain expatriates, nonresident aliens, foreign persons, foreign partnerships, and foreign corporations to the IRS. Schedule Q (Form 1042), Tax Liability of Qualified Derivatives Dealer (QDD), is used by a taxpayer, or any branch of the taxpayer, that was a QDD to report tax liabilities as required by Treasury Regulations section 1.441-1(e)(6)(i)(D)(3). Form 1042-S, Foreign Person’s U.S. Source Income Subject to Withholding, is an information return used by the withholding agent to report certain income and amounts withheld to the payee and the IRS. Form 1042-T, Annual Summary and Transmittal of Forms 1042-S, is used by the withholding agent to transmit paper Forms 1042-S to the IRS.

Key Information

Previous ICR	202201-1545-007

Federal Register Notices

Authorizing Statutes

Abstract

Form 1099-S is used by the real estate reporting person to report proceeds from a real estate transaction to the IRS.

Key Information

Previous ICR	202210-1545-015

Federal Register Notices

Authorizing Statutes

Abstract

Form 1099-PATR is used to report patronage dividends paid by cooperatives (IRC sec. 6044). The information is used by IRS to verify reporting compliance on the part of the recipient.

Key Information

Previous ICR	202207-1545-009

Federal Register Notices

Authorizing Statutes

Abstract

Form 8822 is used by taxpayers to notify the Internal Revenue Service that they have changed their home or business address or business location. Form 8822-B is used to notify the Internal Revenue Service of a change in a business mailing address, business location, or the identity of a responsible party.

Key Information

Previous ICR	202507-1405-001

Federal Register Notices

Authorizing Statutes

Abstract

The DS-3072 is an application for an emergency loan for a destitute U.S. citizen and/or dependent to return to the United States, an application for a destitute U.S. citizen abroad to receive emergency medical and dietary assistance and an application for a U.S. citizen and/or dependent and a third country or host country national to receive a loan to assist in his or her repatriation to the United States and/or to provide them with the funds needed to address their emergency medical and/or dietary needs.

Key Information

Previous ICR	202512-3060-010

Federal Register Notices

Authorizing Statutes

Abstract

The Federal Communications Commission (Commission) requests approval from the Office of Management and Budget (OMB) for a revision to a currently approved collection on FCC Form 175 under OMB Control Number 3060-0600, with no change in burden estimates. The currently approved collection requires a minor revision to include an additional certification on FCC Form 175 that requires an Auction 110 applicant to certify that it has read the public notice that describes procedures for the auction and that it has familiarized itself both with the auction procedures and with the requirements for obtaining a license and operating facilities in the 3.45-3.55 GHz band. Please see the non-substantive change justification for the reason behind this change request to the Office of Management and Budget for review and approval.

Key Information

Previous ICR	202209-0584-002

Federal Register Notices

Authorizing Statutes

Abstract

This is a revision of Lottery and Gambling Winners in the Supplemental Nutrition Assistance Program, which would require states to States to make ineligible SNAP participants with substantial lottery or gambling winnings and establish cooperative agreements with gaming entities within their states to identify SNAP participants with substantial winnings.

Key Information

Previous ICR	202405-1293-003

Federal Register Notices

Authorizing Statutes

Abstract

The DOL VETS administers funds for the multi-year Jobs for Veterans' State Grants to each State, the District of Columbia, Puerto Rico, the Virgin Islands and Guam on an annual basis on a fiscal year cycle. These forms are used to facilitate the identification of required programmatic and financial data provided by States requesting and expending funds and for monitoring the grants, making quarterly adjustments and reporting results to Congress. The use of program-specific standard formats helps to ensure that requested data can be provided in a uniform way, reporting burdens are minimized, the impact of collection requirements on respondents are properly assessed, collection instruments are clearly understood by respondents, and the information is easily consolidated for posting in accordance with statutory requirements.

Key Information

Previous ICR	202510-7100-006

Federal Register Notices

Authorizing Statutes

Abstract

The U.S. Currency Program Surveys are used to obtain information specifically tailored to the Federal Reserve’s operational and fiscal agency responsibilities. All collections except FR 3054c are conducted on an ad hoc basis. The Board’s current U.S. Currency Program set of information collections, collectively referred to as FR 3054, comprises the following: • Ad Hoc Payments Systems Survey (FR 3054a), • Currency Quality Sampling Survey (FR 3054b), • Currency Quality Survey (FR 3054c), • Currency Functionality and Perception Survey (FR 3054d), and • Currency Education Usability Survey (FR 3054e).

Key Information

Previous ICR	202503-0970-012

Federal Register Notices

Authorizing Statutes

Abstract

The John H. Chafee Foster Care Program for Successful Transition to Adulthood (42 U.S.C. 677, as amended by Pub. L. 115–123, the Family First Prevention Services Act within Division E, Title VII of the Bipartisan Budget Act of 2018) requires State child welfare agencies to collect and report to the Administration for Children and Families (ACF) data on the characteristics of youth receiving independent living services and information regarding their outcomes. The regulation implementing the National Youth in Transition Database (NYTD), listed in 45 CFR 1356.80, contains standard data collection and reporting requirements for States to meet the law’s requirements. ACF uses the information collected under the regulation to track independent living services, assess the collective outcomes of youth, and assess performance with regard to those outcomes, consistent with the law’s mandate. There are two information collection instruments associated with this request: the Data File and the Youth Outcome Survey. Since approval in July 2025, a few miscalculations have been identified. This request is meant to correct those errors.

Key Information

Previous ICR	202508-0938-001

Federal Register Notices

Authorizing Statutes

Abstract

Respondents participating in the Medicare program use Supplemental to Form CMS-2552-10: Median Payer-Specific Negotiated Charge Data Worksheet to report payer-specific negotiated charge data pursuant to the CY 2026 OPPS Final Rule (CMS-1834-FC) published November 25, 2025. This supplemental form advances the policy goal of increasing healthcare price transparency and promoting market-based approaches in Medicare FFS payments. The form requires hospitals to report, by MS-DRG, the weighted median of the payer-specific charges negotiated with Medicare Advantage organizations. The information reported on the worksheet enables CMS to calculate new IPPS MS-DRG relative weights beginning in FY 2029 and reinforces the administration's commitment to clear, accurate, and actionable healthcare pricing information.

Key Information

Previous ICR	202507-0970-003

Federal Register Notices

Authorizing Statutes

Abstract

This request is to establish a new umbrella generic clearance for the Administration for Children and Families (ACF) to request information from potential participants at ACF gatherings, such as meetings or conferences. This may include large scale conferences, meetings for grantees or contractors, workshops, trainings, poster sessions, and other in-person and virtual gatherings for individuals with interest in ACF programs (clients, researchers, policymakers, etc.), among others. To ensure ACF has adequate information to plan these activities, the Agency must often collect information from potential participants such as basic contact information, preferences for attendance (mode, special requests, etc.), organizational affiliation, feedback about meeting content, etc. Additionally, some activities require ACF to have additional information to have the means to select the most appropriate participants for attendance according to the type or purpose of a given activity, or to group participants into the most appropriate category or activity during an event. This may include information about poster presentations, speaking panels, training courses, professional perspectives or experiences, etc. In addition, attendees may be asked to submit an application or abstract for prescreening to be selected for attendance. The planning for meetings is most often on a quick timeline and the standard timeline to comply with a full request under the Paperwork Reduction Act would inhibit the ability to collect information to inform these activities. Therefore, an umbrella generic is necessary to allow for quick turnaround requests for similar information collections related to these activities. As part of this generic, ACF requests OMB provide a response on individual generic information collections within 5 business days. If no response is received and the request meets the purposes, uses and scope outlined in this document, ACF may move forward with the proposed information collection.

Key Information

Previous ICR	202409-0648-009

Federal Register Notices

Authorizing Statutes

Abstract

The National Oceanic and Atmospheric Administration’s (NOAA’s) National Ocean Service (NOS) requests extension and revision of this currently approved information collection that contains requirements under the Deep Seabed Hard Mineral Resources Act (DSHMRA). This collection is being revised pursuant to a final rule (RIN 0648-BN96) which will revise the DSHMRA regulations for exploration license and commercial recovery permits to add a new, alternative and optional procedure whereby interested and qualified U.S. citizens may submit a consolidated application to concurrently apply for a license and permit under DSHMRA. The final rule will allow an applicant who is seeking both an exploration license and a commercial recovery permit to proceed under either the information collection requirements for the current two-step sequential process where an applicant first applies for and, if eligible, obtains an exploration license and then applies for the commercial recovery permit; or, if the applicant is qualified, under the information collection requirements for the new consolidated application process where an applicant concurrently applies for the license and permit. Further, the information collection is being revised due to the likely future need to begin collecting permit applications, as well as annual reports related to permit compliance. This information collection is for the purpose of the receipt and maintenance of exploration licenses and commercial recovery permits required by the Deep Seabed Hard Mineral Resources Act (DSHMRA) (30 U.S.C. §§ 1401-1473). NOAA’s regulations at 15 CFR Part 970 (exploration licenses) and 15 CFR Part 971 (commercial recovery permits) govern the issuance and maintenance of DSHMRA licenses and permits. The NOAA Administrator approves or denies DSHMRA licenses and permits. The NOAA Administrator has delegated to the NOS Assistant Administrator and the NOS’ Office for Coastal Management responsibility for processing DSHMRA licenses and permits for the NOAA Administrator’s consideration and decisions. License and permit applicants must submit information to ensure that the applicant meets the DSHMRA licensing and permitting standards. Licensees and permittees are required to conduct monitoring and make reports, including annual reports regarding the licensee’s or permittee’s conformance to the schedule of activities and expenditures contained in the license or permit, and may request revisions, transfers, or extensions of licenses and permits. Information required for the issuance, revision, transfer, and extension of licenses and permits ensures that the Administrator is able to make determinations on the findings set forth in 30 U.S.C. 1413(c) and 30 U.S.C. 1415(a) and the factors set forth in the DSHMRA regulations. These findings and factors include that license and permit applicants have identified areas of interest for deep seabed hard mineral exploration and production; developed plans for those activities; have the financial resources available to conduct proposed activities; and have considered the effects of the activities on the natural and human environment. This information is used to determine whether licenses and permits should be issued, revised, transferred, or extended. Exploration licenses and commercial recovery permits under DSHMRA are only for activities by U.S. citizens on the seabed in areas beyond national jurisdiction. NOAA has received several applications recently and anticipates receiving additional applications. The licenses and permits are subject to annual reporting requirements and may be subject to extension requests (every five years for exploration licenses, or every twenty years for commercial recovery permits).

Key Information

Federal Register Notices

Authorizing Statutes

Abstract

VA Form 20-10208 is used by claimants to submit additional evidence or information in support of a claim, update information on a claimant’s VA account. Additionally, this revision adds use by a claimant when submitting evidence as part of a pre-discharge claim. Without this information, VA would not be able to efficiently and successfully process and associate evidence or information of record to a claimant’s file which could negatively affect adjudication and decisions made by VA.

Key Information

Previous ICR	202411-1545-001

Federal Register Notices

Authorizing Statutes

Abstract

Sections 6011 & 6012 of the Internal Revenue Code (IRC), require individuals to prepare and file income tax returns annually. These forms and related schedules are used by individuals to report their income subject to tax and compute their correct tax liability. IRS uses the data collected on these forms and their schedules to compute tax liability and determine that the items claimed are properly allowable. This information is also used for general statistical purposes.

Key Information

Previous ICR	202411-0930-003

Federal Register Notices

Authorizing Statutes

Abstract

Zero Suicide is a commitment to suicide prevention in health and behavioral health care systems and a framework with a specific set of tools and strategies. It proposes that suicide deaths for individuals under care within health and behavioral health systems are preventable, and that a systematic approach to quality improvement in these settings is both available and necessary to identify suicidal patients and keep them safe. The Zero Suicide Evaluation is designed to assess the implementation and outcomes of SAMHSA’s Zero Suicide Program. Specifically, the Zero Suicide Evaluation will gather information about health system implementation of the Zero Suicide model, including staff training; health care provider training, knowledge, practices, and confidence related to implementing the core elements of the Zero Suicide model; consumer experiences with services provided under the Zero Suicide model; and outcomes related to suicide attempts and deaths.

Key Information

Previous ICR	202209-3060-002

Federal Register Notices

Authorizing Statutes

Abstract

The three forms serve the functions of the Universal Service Schools and Libraries Support Mechanism, 47 U.S.C. Sec. 254 et seq. They are used at the point were services provided pursuant to the program are implemented, or about to be implemented, and are a necessary prerequisite to the distribution of payments under the program. The forms ensure that Congressional mandates regarding safer access to the Internet by minors and adults are met.

Key Information

Previous ICR	202504-1220-003

Federal Register Notices

Authorizing Statutes

Abstract

The National Longitudinal Survey of Youth 1997 (NLSY97) includes 8,984 respondents who were born in the years 1980 through 1984 and lived in the United States when the survey began in 1997. The primary objective of the survey is to study the transition from full-time schooling to the establishment of careers and families. The longitudinal focus of the survey requires information to be collected about the same individuals over many years in order to trace their education, training, work experience, fertility, income, and program participation. One of the goals of the Department of Labor is to produce and disseminate timely, accurate, and relevant information about the U.S. labor force. BLS contributes to this goal by gathering information about the labor force and labor market and disseminating it to policymakers and the public so that participants in those markets can make more informed, and thus more efficient, choices. Research based on the NLSY97 contributes to the formation of national policy in the areas of education, training, employment programs, and school-to-work transitions.