Change Requests

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Countermeasures Injury Compensation Program (CICP)

Key Information

Abstract

The Countermeasures Injury Compensation Program (CICP) provides compensation to eligible individuals (requesters) seriously injured by a covered countermeasure administered or used pursuant to a Public Readiness and Emergency Preparedness Act of 2005 (PREP Act) Declaration, or to their estates and/or survivors. The CICP requires the Request for Benefits Package to determine whether a requester is eligible for Program benefits (compensation) for their injury and if applicable, to calculate the amount of program benefits a requester is eligible to receive. The Request for Benefits Package includes the Request for Benefits Form and Authorization for Use or Disclosure of Health Information Form(s), as well as the injured countermeasure recipient’s medical records and supporting documentation. A requester who is an injured countermeasure recipient, the requester’s legal representative, or the estate or survivor(s) of an injured countermeasure recipient is responsible for submitting the Request for Benefits Package, as well as the injured countermeasure recipient’s medical records and supporting documentation.

Federal Register Notices

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

Authorizing Statutes

42 USC 247d-6d	View Law

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Rule 19b-4 Filings with Respect to Securities-Based Swap Submissions, Advance Notices and Proposed Rule Changes by Self-Regulatory Organizations and the Security-Based Swap Stay of Clearing Requiremen

Key Information

Abstract

Rule 19b-4, 17 CFR 240.19b-4, requires each self-regulatory organization to file with the Commission on Form 19b-4 any proposed rule, or any proposed change in, addition to, or deletion from the rules of such SRO. The rule is designed to allow the Commission to review proposed rule changes and to solicit public comment on whether they should be approved or disapproved. 2025 AMENDMENT: The Commission recently adopted amendments to the rule and form related to signature requirements. However, the amendments do not change the estimated burden of the collection of information. The amended Rule 19b-4(j) will no longer require that the signatory to an electronically submitted Form 19b-4 manually sign a signature page or other document authenticating, acknowledging, or otherwise adopting his or her signature that appears in typed form within the electronic filing, execute that document before or at the time the rule filing is electronically submitted, and retain that document for its records in accordance with Rule 17a-1. The amended Form 19b-4 and the instructions to Form 19b-4 will no longer require that a duly authorized officer of the SRO manually sign one copy of the completed Form 19b-4 and that the manually signed signature page be maintained pursuant to section 17 of the Exchange Act.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

15 USC 78s(b)	View Law

15 USC 78c-3(b)(2)	View Law

15 USC 78c-3(b)(5)	View Law

15 USC 78s(b)(1)	View Law

12 USC 5465	View Law

15 USC 78c-3(c)(1)	View Law

15 USC 78c-3(c)(4)	View Law

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Form F-1 - Registration Statement

Key Information

Abstract

Form F-1 is used by certain foreign private issuers to register securities pursuant to the Securities Act of 1933.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

15 USC 77f	View Law

15 USC 77g	View Law

15 USC 77j	View Law

15 USC 77s(a)	View Law

15 USC 77z-3	View Law

15 USC 78c	View Law

15 USC 78l	View Law

15 USC 78m	View Law

15 USC 78n	View Law

15 USC 78o	View Law

15 USC 78w(a)	View Law

15 USC 78mm	View Law

15 USC 80a-6(c)	View Law

15 USC 80a-37	View Law

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Partner Information Form (PIF)

Key Information

Abstract

USAID utilizes the Partner Information Form (AID 500-13, or PIF) in conjunction with the Partner Vetting System (PVS), its information technology (IT) system of records, to collect and maintain records for vetting purposes to help ensure that USAID funds, USAID-funded activities, or other resources will not be used to provide support to entities or individuals deemed to be a risk to national security. The PIF is completed by organizations, entities, or individuals applying for USAID contracts, grants, or other funding. In addition to collecting data on entities applying for funding and the type and purpose of the award, USAID utilizes the PIF to collect data on key individuals of prospective awardees and subawardees. Information collected on such key individuals includes the following: name; other names used; date and place of birth; gender; citizenship(s); country of issuance; address; phone number(s); email address(es); current employer and project title; organizational rank or title; occupation; and professional licenses and certifications.

Federal Register Notices

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

Authorizing Statutes

18 USC 2339 A, B, and C	View Law

Pub.L. 115 - 141 7034(e)	View Law

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Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance

Key Information

Abstract

SSA uses the information collected on Forms SSA-1372-BK and SSA-1372-BK-FC to determine whether children of an insured worker are eligible for student benefits. The data allows SSA to determine student entitlement and whether entitlement will end. The respondents are student claimants for Social Security benefits, their respective schools and, in some cases, their representative payees. We are making non-substantive changes to change the font of the form to meet the agency’s accessibility standards.

Federal Register Notices

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

Authorizing Statutes

42 USC 402	View Law

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The Health Center Program Application Forms

Key Information

Abstract

Health Center Program-specific forms provide information essential for application evaluation, funding and designation recommendation and approval, monitoring, and ensuring compliance with Health Center Program legislative and regulatory requirements. The forms are/will be used by existing health centers and other organizations to apply for grant and non-grant opportunities, renew grant or non-grant designation, and change scope of project.

Federal Register Notices

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

Authorizing Statutes

42 USC 254b Section 330	View Law

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Disability Case Development Information Collections

Key Information

Abstract

State disability determinations services collect the information SSA needs to administer our disability program. For the purposes of this ICR, we divide this information into three categories: 1) consultative examinations (a/b/c); 2) medical evidence of record; and 3) pain/other symptoms/impairment. Respondents are individuals, private sector, and State and local governments. We are submitting a Change Request to add a new language and telephone script to obtain consent to receive scheduling reminders about SSA appointments via email and text messaging.

Federal Register Notices

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

Authorizing Statutes

42 USC 423	View Law

42 USC 421	View Law

42 USC 1382c	View Law

42 USC 405	View Law

42 USC 1383	View Law

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Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate

Key Information

Abstract

Title VIII of the Act requires SSA to pay a monthly benefit to qualified World War II veterans who reside outside the United States. When an SVB overpayment occurs, the beneficiary can request a waiver of recovery of the overpayment, or a change in the repayment rate, using Form SSA-2032-BK. Respondents are beneficiaries who have overpayments on their Title VIII record and wish to file a claim for waiver of recovery or change in repayment rate. We are submitting this non-substantive change request for removal of the signature requirement from this form.

Federal Register Notices

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

Authorizing Statutes

Pub.L. 108 - 203 210	View Law

42 USC 1008	View Law

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Current Population Survey (CPS) 2025 Field Test

Key Information

Abstract

I. Abstract The Census Bureau plans to request clearance from the Office of Management and Budget (OMB) for the collection of information related to a field test of the Current Population Survey (CPS) in calendar year 2025. The CPS has been the source of official government statistics on employment and unemployment since 1942. The Bureau of Labor Statistics (BLS) and the Census Bureau jointly sponsor the basic monthly survey. The Census Bureau also prepares and conducts all the field work. The CPS collects labor force information for the civilian noninstitutional population including employment status, number of hours worked, job search activities, earnings, duration of unemployment, and the industry and occupation classification of the job held the previous week. Data for the CPS are currently collected by Census field interviewers via in-person interviews or by telephone. The 2025 Field Test’s goal is to test the use of an internet self-response method to measure its success as a possible method of contact and interviewing with the goal of review accuracy, reporting, and representativeness. In addition, should it prove as a viable response method, the goal is to experiment with timing and contacts in order to refine procedures that best fit the needs of CPS. This is the first of two major field tests with the second in 2026, and an ultimate goal to phase in changes to the survey in 2027. II. Method of Collection The 2025 field test is planned for April 2025 until November 2025. The goal is to replicate the expected mode interaction of adding a self-response mode as close as possible to a production environment. The first interview will be conducted via computer-assisted person interview (CAPI) mode, and most cases will be followed up for three months with a mix of Internet Self Response and CAPI follow-up based on the previous month’s interview results and data reported. All cases will be in sample for four months. In addition, some cases will be put on hold for two months and then interviewed again in order to replicate the break in a normal CPS in a shorter interval. In addition, we will conduct experiments such as question wording, contact methods, and timing of mode switching in order to measure the best method to encourage response by internet mode and the best wording for accurate self response reporting.

Federal Register Notices

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

Authorizing Statutes

13 USC 8b, 141, 182	View Law

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Application for Merchant Mariner Credentials and Medical Certificates

Key Information

Abstract

In accordance with Title 46 CFR Parts 10, 11, 12, 13, and 16, the collection of this information is necessary to determine competency, character & physical qualifications for the issuance of a Merchant Mariner Credential (MMC) or Medical Certificate.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

46 USC Subtitle II, Part E

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Form S-1 Registration Statement

Key Information

Abstract

Form S-1 under the Securities Act is used by issuers who are not eligible to use other forms to register offering of their securities.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

15 USC 77f	View Law

15 USC 77g	View Law

15 USC 77j	View Law

15 USC 77s(a)	View Law

15 USC 77z-3	View Law

15 USC 78c	View Law

15 USC 78l	View Law

15 USC 78m	View Law

15 USC 78n	View Law

15 USC 78o	View Law

15 USC 78w(a)	View Law

15 USC 78mm	View Law

15 USC 80a-6(c)	View Law

15 USC 80a-37	View Law

Presidential Action:

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Form S-4 - Registration Statement

Key Information

Abstract

Form S-4 is the form used for registration under the Securities Act of 1933 of securities issued in business combination transactions.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

15 USC 77g	View Law

15 USC 77j	View Law

15 USC 80a-37	View Law

15 USC 77f	View Law

15 USC 77s(a)	View Law

15 USC 77z-3	View Law

15 USC 78c	View Law

15 USC 78l	View Law

15 USC 78m	View Law

15 USC 78n	View Law

15 USC 78o	View Law

15 USC 78w(a)	View Law

15 USC 78mm	View Law

15 USC 80a-6(a)	View Law

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[NIOSH] National Firefighter Registry for Cancer

Key Information

Abstract

The main goal of the National Firefighter Registry (NFR), according to the Firefighter Cancer Registry Act of 2018, is, “to develop and maintain a voluntary registry of firefighters to collect relevant health and occupational information of such firefighters for purposes of determining cancer incidence.” This Non-Substantive Change Request is submitted for the following reason(s): 1) Modification of R/E question to follow the recently released Statistical Policy Directive 15 (SPD-15) Standard in the NFR Enrollment Questionnaire; 2) Removal of three questions in the Enrollment Questionnaire that are being asked exclusively in the User Profile; and 3) Modification of Sex question to conform to EO 14168. There is no change to the burden hours approved for this data collection.

SPD-15 Implementation	Yes

Federal Register Notices

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

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[NCHHSTP] National HIV Behavioral Surveillance System

Key Information

Abstract

The National HIV Behavioral Surveillance system (NHBS) is a supplemental surveillance project designed to describe the HIV prevalence and behaviors related to HIV acquisition and prevention among the three populations at highest risk for HIV in the United States: men who have sex with men, persons who inject drugs, and heterosexually active persons at increased risk for HIV infection. For this Revision, interview data collection instruments were revised and the number of health departments participating in the NHBS System will decrease, in addition to other minor changes.

Federal Register Notices

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

Authorizing Statutes

42 USC 306	View Law

42 USC 301	View Law

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Form F-4 - Registration Statement

Key Information

Abstract

Form F-4 is used by foreign private issuers to register securities in business combinations, reorganizations and exchange offers pursuant to the federal securities laws.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

15 USC 77f	View Law

15 USC 77g	View Law

15 USC 77j	View Law

15 USC 77s(a)	View Law

15 USC 77z-3	View Law

15 USC 78c	View Law

15 USC 78l	View Law

15 USC 78m	View Law

15 USC 78n	View Law

15 USC 78o	View Law

15 USC 78w(a)	View Law

15 USC 78mm	View Law

15 USC 80a-6(c)	View Law

15 USC 80a-37	View Law

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Mandatory Civil Rights Data Collection

Key Information

Abstract

The collection, use, and reporting of education data is an integral component of the mission of the U.S. Department of Education. The Department has collected civil rights data about the nation’s public schools via the Civil Rights Data Collection (CRDC) since 1968. For school years 2009–10 and 2011–12, the Office of Management and Budget (OMB) approved the CRDC as part of the EDFacts information collection (1875-0240). EDFacts, a Department initiative to put performance data at the center of ED's policy, management, and budget decision-making processes for all preschool-grade 12 education programs, has transformed the way in which ED collects and uses data. For school years 2013–14, 2015–16, 2017–18, and 2020–21, the Office for Civil Rights cleared the CRDC as a separate collection from EDFacts while maintaining its transformative data collection policies and practices. As with previous CRDC collections, the purpose of the 2021–22 and 2023–24 CRDCs is to obtain vital data related to the civil rights laws’ requirement that public local educational agencies (LEAs) and elementary and secondary schools provide equal educational opportunity. ED has analyzed the uses of many data elements collected in the 2015–16 and 2017−18 CRDCs and sought advice from experts across ED to refine, improve, and where appropriate, add or remove data elements from the collection. ED also made the CRDC data definitions and metrics consistent with other mandatory collections across ED wherever possible. The Department seeks OMB approval under the Paperwork Reduction Act to collect from LEAs the elementary and secondary education data described in the sections of Attachment A. ED requests that LEAs and other stakeholders review and comment on the proposed changes (detailed in Supporting Statement A, Attachments A-1, A-2, A-3, and A-4, and Attachment B), and respond to the directed questions found in Attachment A-5.

Federal Register Notices

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

Authorizing Statutes

20 USC 3411	View Law

20 USC 3413 (C)(1)	View Law

20 USC 3471(a)	View Law

20 USC 3472	View Law

20 USC 7913	View Law

20 USC 7914	View Law

20 USC 3412(g)	View Law

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Vocational Rehabilitation Provider Claim

Key Information

Abstract

State Vocational Rehabilitation (VR) agencies submit Form SSA–199 to SSA to obtain reimbursement of costs incurred for providing VR services. SSA requires state VR agencies to submit reimbursement claims for the following categories: (1) Claiming reimbursement for VR services provided; (2) certifying adherence to cost containment policies and procedures; and (3) preparing causality statements. The respondents mail the paper copy of the SSA 199 to SSA for consideration and approval of the claim for reimbursement of cost incurred for SSA beneficiaries. For claims certifying adherence to cost containment policies and procedures, or for preparing causality statements, state VR agencies submit written requests as stipulated in SSA’s regulations within the Code of Federal Regulations. In most cases, SSA requires adherence to cost containment policies and procedures as well as causality statements prior to determining whether to reimburse the state VR agencies. SSA uses the information on the SSA-199, along with the written documentation, to determine whether or not, and how much, to pay the state VR agencies under SSA’s VR program. Respondents are state VR agencies who offer vocational and employment services to Social Security and Supplemental Security Income recipients.

Federal Register Notices

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

Authorizing Statutes

42 USC 405	View Law

42 USC 422	View Law

42 USC 1382d	View Law

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Representative Payee Evaluation Report

Key Information

Abstract

SSA uses the Representative Payee Evaluation Report, Form SSA-624-F5, as a documentation tool for interviews with, and evaluations of, representative payees. SSA requires our field offices (FO) to conduct a face-to-face interview with the representative payee using Form SSA-624-F5 when: (1) SSA finds the payee’s responses on SSA-required annual accounting reports [Forms SSA-623, SSA 6230, and SSA-6234 (OMB No. 0960 0068)] unacceptable, and we cannot resolve them; (2) the payee fails to complete SSA’s initial and second request for an annual accounting report; or (3) assessing the representative payee’s continued suitability. In addition to the representative payee, we also interview the beneficiary or SSI recipient, and custodian (if other than the payee) to confirm information the payee provides, and to ensure the payee is meeting the beneficiary’s or SSI recipient’s current needs (face to-face interview not required). The respondents are individuals or organizations serving as representative payees for individuals receiving Title II benefits or Title XVI payments who fail to comply with SSA’s statutory annual reporting requirement, SSA beneficiaries or recipients, and third-party custodians.

Federal Register Notices

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

Authorizing Statutes

42 USC 405	View Law

42 USC 1383	View Law

Presidential Action:

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Submission of Protocols and Study Reports for Environmental Research Involving Human Subjects

Key Information

Abstract

The information collection activity consists of activity-driven reporting and recordkeeping requirements for those who intend to conduct research for submission to EPA under the pesticide laws. If such research involves intentional dosing of human subjects, these individuals (respondents) are required to submit study protocols to EPA and a cognizant local Human Subjects IRB before such research is initiated so that the scientific design and ethical standards that will be employed during the proposed study may be reviewed and approved. Also, respondents are required to submit information about the ethical conduct of completed research that involved human subjects when such research is submitted to EPA.

Federal Register Notices

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

Authorizing Statutes

7 USC 136	View Law

21 USC 346a	View Law

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Centenarian Project and Medicare Non-Utilzation Project Development Worksheets: Face-to-Face Interview; Telephone Interview

Key Information

Abstract

SSA conducts interviews with centenary Title II beneficiaries and Title XVI recipients, and Medicare Non-Utilization Project (MNUP) beneficiaries age 90 and older to: (1) Assess if the beneficiaries are still living; (2) prevent fraud through identity misrepresentation; and (3) evaluate the well-being of the recipients. SSA field office personnel obtain the information through one-time, in-person interviews with the centenarians and MNUP beneficiaries. If the centenarians and MNUP beneficiaries have representatives or caregivers, SSA personnel invite them to the interviews. During these interviews, SSA employees make overall observations of the centenarians, MNUP beneficiaries, and their representative payees (if applicable). The interviewer uses the appropriate Development Worksheet as a guide for the interview, in addition to documenting findings during the interview. Non-completion of the Worksheets, or refusal of the interviews, will result in the suspension of the centenarians’ or MNUP beneficiaries’ payments. SSA conducts the interviews either over the telephone or through a face-to-face discussion with the respondents. Respondents are SSI recipients or Social Security beneficiaries 100 years old or older; MNUP beneficiaries; their representative payees; or their caregivers.

Federal Register Notices

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

Authorizing Statutes

42 USC 405	View Law

42 USC 1383	View Law

Presidential Action:

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Comprehensive Transactional Forms Supporting FHA’s Section 242 Mortgage Insurance Program for Hospitals

Key Information

Abstract

This information is collected from OHF staff, mortgagees, mortgagors, contractors and agents to manage and monitor the application, procedure, project administration, and initial/final endorsement of projects undertaken by Office of Hospital Facilities.

Federal Register Notices

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

Authorizing Statutes

12 USC 1709,1710,1715b,1715n(f), 1715	View Law

42 USC 3535(d)	View Law

Presidential Action:

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Rules 201 and 200(g)

Key Information

Abstract

Rule 201 is a short sale-related circuit breaker rule that, when triggered by an intra-day decline in the price of a covered security of 10% or more from the prior day’s closing price for the covered security as determined by the covered security’s listing market, will apply for the remainder of the day and the following day a price test restriction that restricts short sales at or below the current national best bid for the particular covered security. Rule 200(g) will add a new marking requirement of “short exempt.” In particular, if the broker-dealer chooses to rely on its own determination that it is submitting the short sale order to the trading center at a price that is above the current national best bid at the time of the submission, or to rely on an exception specified in the rule, it must mark the order as “short exempt.”

Federal Register Notices

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

Authorizing Statutes

15 USC 78b, 78c(b), 78f, 78i(h), 78j	View Law

15 USC 78s and 78w(a)	View Law

15 USC 78k-1, 78o, 78o-3, 78q, 78q-1	View Law

Presidential Action:

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Complaint Forms for Civil Rights and Conscience; Health Information Privacy and Security Complaints

Key Information

Abstract

Individuals may file written complaints with the Office for Civil Rights when they believe they have been discriminated against by programs or entities that receive Federal financial assistance from HHS or if they believe that, on or after April 14, 2003, their right to the privacy of protected health information has been violated. The complaint forms in this PRA submission provide the basic information needed by OCR to allow initial processing of such complaints.

Federal Register Notices

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

Authorizing Statutes

29 USC 794	View Law

42 USC 2000d	View Law

Presidential Action:

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Supporting Data for Nonbeverage Drawback Claims

Key Information

Abstract

Under the Internal Revenue Code (IRC) at 26 U.S.C. 5111–5114 and 7652(g), persons using distilled spirits to produce medicines, medicinal preparations, food products, flavors, flavoring extracts, or perfume may claim drawback (refund) of all but $1.00 per proof gallon of the Federal excise tax paid on the distilled spirits used to make such nonbeverage products, subject to regulations prescribed by the Secretary of the Treasury. As required by the Alcohol and Tobacco Tax and Trade Bureau (TTB) regulations in 27 CFR parts 17 and 26, when submitting nonbeverage product drawback claims to TTB, respondents are required to report certain supporting data regarding the distilled spirits used and the products produced, using form TTB F 5154.2. TTB uses the collected information to ensure that drawback of Federal excise tax is provided only to eligible entities.

Federal Register Notices

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

Authorizing Statutes

26 USC 5111-5114	View Law

26 USC 7652(g)	View Law

Presidential Action:

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Request Type:

Formula For Distilled Spirits Under The Federal Alcohol Administration Act

Key Information

Abstract

The Federal Alcohol Administration Act (FAA Act) at 27 U.S.C. 205(e) authorizes the Secretary of the Treasury to issue regulations regarding the labeling of distilled spirits products to prevent consumer deception, to provide the consumer with adequate information as to the identity and quality of such products, and to require a statement of composition in certain cases of distilled spirits produced by blending or rectification or if neutral spirits were used in the product’s production. In addition, the Internal Revenue Code (IRC) at 26 U.S.C. 5222(c), 5223, and 5232, authorizes the Secretary of the Treasury to issue regulations regarding the removal and addition of extraneous substances to distilling materials or the redistillation of domestic and imported spirits. Under those authorities, the Alcohol and Tobacco Tax and Trade Bureau (TTB) regulations in 27 CFR parts 5, 19, and 26 require proprietors to obtain TTB approval of formulas for distilled spirits products when operations such as blending, mixing, purifying, refining, compounding, or treating, change the character, composition, class, or type of the spirits. Most respondents now use TTB's Formulas Online (FONL) online system, or its paper equivalent, TTB F 5100.51, to file such formulas, but TTB continues to allow respondents to file distilled spirits formulas using the legacy form, TTB F 5110.38, which is approved under this control number. Respondents use this form to list ingredients, and, in some cases, the process used to produce the product. TTB uses the collected information to determine if a distilled spirits product meets the applicable statutory and regulatory requirements.

Federal Register Notices

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

Authorizing Statutes

26 USC 5222(c), 5223, 5232, 5555	View Law

27 USC 205(e)	View Law

Presidential Action: