Change Requests

Key Information

Previous ICR	202508-1240-001

Federal Register Notices

Authorizing Statutes

Abstract

The CM-910 is used to obtain information about prospective representative payees to determine whether they are qualified to handle monetary benefits on behalf of a beneficiary under Part 901 of the Black Lung Benefits Act.

Key Information

Previous ICR	202509-3041-001

Federal Register Notices

Authorizing Statutes

Abstract

Section 14(a)(2) of the Consumer Product Safety Act (CPSA), 15 U.S.C.2063(a)(2)requires manufacturers and private labelers of any children's product that is subject to a children's product safety rule to submit samples of the product, or samples that are identical in all material to the product to a third party conformity assessment body accredited by the CPSC to be tested for compliance with such children's product safety rule.

Key Information

Previous ICR	202208-0915-001

Federal Register Notices

Authorizing Statutes

Abstract

Section 602 of Public Law 102–585, the Veterans Health Care Act of 1992, enacted section 340B of the Public Health Service (PHS) Act, which instructs HHS to enter into a Pharmaceutical Pricing Agreement (PPA) with manufacturers of covered outpatient drugs. Manufacturers are required by section 1927(a)(5)(A) of the Social Security Act to enter into agreements with the Secretary of HHS (Secretary) that comply with section 340B of the PHS Act if they participate in the Medicaid Drug Rebate Program. When a drug manufacturer signs a PPA, it is opting into the 340B Drug Pricing Program (340B Program), and it agrees to the statutory requirement that prices charged for covered outpatient drugs to covered entities will not exceed statutorily defined 340B ceiling prices. When an eligible covered entity voluntarily decides to enroll and participate in the 340B Program, it accepts responsibility for ensuring compliance with all provisions of the 340B Program, including all associated costs. Covered entities that choose to participate in the 340B Program must comply with the requirements of section 340B(a)(5) of the PHS Act. Section 340B(a)(5)(A) of the PHS Act prohibits a covered entity from accepting a discount for a drug that would also generate a Medicaid rebate. Further, section 340B(a)(5)(B) of the PHS Act prohibits a covered entity from reselling or otherwise transferring a discounted drug to a person who is not a patient of the covered entity.

Key Information

Federal Register Notices

Abstract

The purpose of this form is to collect necessary information to process user access requests for the Drug Enforcement Administration’s El Paso Intelligence Center (EPIC) System Portal (ESP). This system enables authorized law enforcement personnel to access critical criminal investigation, seizures, and interdiction law enforcement sensitive information. The collected information ensures proper vetting, security, and compliance with federal law enforcement policies.

Key Information

Federal Register Notices

Authorizing Statutes

Abstract

TVAP and Aspire are funded by the Office on Trafficking in Persons (OTIP) to provide time-limited comprehensive case management services to individuals who have experienced severe forms of human trafficking, including adults (TVAP) and children (Aspire). The programs also aim to (1) develop and maintain a nationwide network of providers to conduct human trafficking outreach and provide direct services and community referrals, and (2) establish local regional presence within each of the ACF geographic regions to coordinate project activities and direct services. TVAP has undergone several changes in the past few years, shifting to a regional administration model and separating services for minors into a separate program called Aspire. The Office of Planning, Research, and Evaluation (OPRE), in collaboration with OTIP, is overseeing a process evaluation of the TVAP and Aspire programs. This proposed data collection will be the first evaluation of the TVAP and Aspire programs to understand its administration and implementation and its impact on thousands of individuals. The proposed data collection includes interviews and a survey to document and examine the key characteristics and implementation of the programs, including the challenges, strengths, and successes.

Key Information

Previous ICR	202203-1405-002

Federal Register Notices

Authorizing Statutes

Abstract

The Immigration and Nationality Act (INA), 8 U.S.C. § 1101 et seq., mandates the application and eligibility requirements for noncitizens seeking to obtain an immigrant visa and alien registration. INA section 221(a) (8 U.S.C. § 1201(a)) provides that a consular officer may issue an immigrant visa to an individual who has made a proper application.

Key Information

Previous ICR	202503-1205-008

Federal Register Notices

Authorizing Statutes

Abstract

The 2014 Workforce Innovation Opportunity Act (WIOA) required the Office of Job Corps to collect and report specific post enrollment outcomes for eligible Job Corps participants beginning in Program Year (PY) 2016. The WIOA performance reporting requirements, which replaced those of the 1998 Workforce Investment Act (WIA), are designed to provide a common set of metrics to be reported by similar programs. WIOA substantially changed many outcome metrics for Job Corps compared to those required under WIA and provided new guidance on the definition of high performing and low performing centers. In order to collect the necessary information to meet the new WIOA reporting requirements, the Office of Job Corps revised its post enrollment data collection system (PEDC) in 2019, which primarily collects data through survey instruments.

Key Information

Previous ICR	202508-0938-002

Federal Register Notices

Authorizing Statutes

Abstract

For the PY 2028 validation, CMS is continuing to use its previously finalized policy to select 300 facilities to participate in an NHSN Dialysis Event validation by submitting a total of 20 patient records across any two quarters of data reported in CY 2026.

Key Information

Previous ICR	202412-1557-001

Federal Register Notices

Authorizing Statutes

Abstract

The Comptroller's Licensing Manual (Manual) explains the OCC's policies and procedures for the formation of a new national bank or Federal savings association, entry into the banking system by other institutions, and corporate expansion and structural changes by existing national banks and Federal savings associations. This ICR is being filed in connection with an OCC issued proposal that would amend its rules related to policies and procedures to simplify licensing requirements for corporate activities and transactions involving national banks and Federal savings associations that have less than $30 billion in total assets and satisfy certain conditions. The proposed rule is intended to reduce burden on these institutions. In particular, the proposed rule would create a new definition of “covered community bank or covered community savings association” and amend various provisions of 12 CFR part 5 to grant expedited or reduced filing procedures already present in the regulations to covered community banks and covered community savings associations. The proposed rule would not relax the standards used to determine whether an application would be approved but would simply relax the standard for expedited approval.

Key Information

Previous ICR	202102-1006-001

Federal Register Notices

Authorizing Statutes

Abstract

The information will allow Reclamation to continue to evaluate program and management effectiveness of existing recreation and concessionaire resources and facilities and validate effective public use of managed recreation resources located on Reclamation project lands in the 17 Western States.

Key Information

Previous ICR	202209-1210-003

Federal Register Notices

Authorizing Statutes

Abstract

Class exemption PTE 80-83, granted on November 4, 1980, allows employee benefit plans to purchase securities, which may aid the issuer of the securities to reduce or retire indebtedness to a party in interest. Entities who rely on the exemption are mainly banks that purchase, on behalf of employee benefit plans, securities issued by a corporation indebted to the bank that is a party in interest to the plan. The principal requirements of the exemption are that the securities must be sold as part of a public offering, and the price paid for the securities must not be in excess of the original offering price. A plan fiduciary may not engage in certain transactions with parties in interest as defined in section 3(14) of ERISA, including plan fiduciaries, sponsoring employers, employee organizations, service providers and affiliates, unless an exemption applies to the transaction. This exemption also provides relief from the prohibited transaction provisions of Section 4975 of the Internal Revenue Code (the Code).

Key Information

Previous ICR	202402-1557-002

Federal Register Notices

Authorizing Statutes

Abstract

The OCC issued guidelines, codified in 12 CFR part 30, appendix D, establishing minimum standards for the design and implementation of a risk governance framework for certain insured national banks, insured Federal savings associations, and insured Federal branches of a foreign bank (collectively, bank(s)). The guidelines also established minimum standards for a board of directors in overseeing the framework’s design and implementation. The guidelines apply to a covered bank. The term “covered bank” means any bank with average total consolidated assets: (i) equal to or greater than $50 billion; (ii) less than $50 billion if that bank’s parent company controls at least one covered bank; or (iii) less than $50 billion if the OCC determines such bank’s operations are highly complex or otherwise present a heightened risk as to warrant the application of the guidelines. The OCC adopted the guidelines pursuant to section 39 of the Federal Deposit Insurance Act (FDIA), which authorizes the OCC to prescribe operational and managerial standards for insured national banks, insured Federal savings associations, and insured Federal branches of a foreign bank. This ICR is being filed in connection with an OCC-issued proposed rule that would amend the above-referenced guidelines to increase the average total consolidated assets threshold for applying the guidelines from $50 billion to $700 billion. The proposal would implement this change, in part, by modifying the guidelines’ definition of the term “covered bank.” Under this revised definition, the term “covered bank” would mean any insured national bank, insured Federal savings association, or insured Federal branch of a foreign bank: (i) with average total consolidated assets equal to or greater than $700 billion; (ii) with average total consolidated assets less than $700 billion if that bank’s parent company controls at least one covered bank; or (iii) with average total consolidated assets less than $700 billion if the OCC determines such bank’s operations are highly complex or otherwise present a heightened risk. The proposed revisions would affect the number of respondents required to comply with the guidelines’ recordkeeping requirements.

Key Information

Previous ICR	202210-1820-001

Federal Register Notices

Authorizing Statutes

Abstract

The Individuals with Disabilities Education Act (IDEA), signed on December 3, 2004, became PL 108-446. In accordance with 20 U.S.C. 1412(a), a State is eligible for assistance under Part B for a fiscal year if the State submits a plan that provides assurances to the Secretary that the State has in effect policies and procedures to ensure that the State meets each of the conditions found in 20 U.S.C. 1412. Information Collection 1820-0030 is being revised to remove the Significant Disproportionality data collection under IDEA section 618(d) and 34 CFR §§300.646 and 300.647 from Section V of the Annual State Application under Part B of the IDEA. The Department believes that removal of the data collection related to Significant Disproportionality will reduce the burden on respondents when completing the Annual State Application under Part B of IDEA. The remaining sections of the Annual State Application under Part B of IDEA are being extended so that States can provide assurances that they either have or do not have in effect policies and procedures to meet the eligibility requirements of Part B of the Act as found in PL 108-446. Information Collection 1820-0030 corresponds with 34 CFR §§ 300.100-176; 300.199; 300.640-645; and 300.705. These sections include the requirement that the Secretary and local educational agencies located in the State be notified of any State-imposed rule, regulation, or policy that is not required by this title and Federal regulations.

Key Information

Previous ICR	202505-1820-004

Federal Register Notices

Authorizing Statutes

Abstract

RSA uses this form to meet the specific data collection requirements of Section 752 of the Rehabilitation Act, as amended by the Workforce Innovation Act (WIOA) and implementing regulations at 34 CFR 367.31(c). Each Designated State Agency (DSA) that administers the ILOIB program is required to submit the RSA-7-OB report annually to the RSA Commissioner within 120 days of the end of the reported fiscal year.

Key Information

Previous ICR	202404-1240-007

Federal Register Notices

Authorizing Statutes

Abstract

Form OWCP-915 is used to claim reimbursement for out-of-pocket covered medical expenses paid by a beneficiary, and must be accompanied by required billing data elements (prepared by the medical provider) and by proof of payment by the beneficiary.

Key Information

Previous ICR	202211-1405-001

Federal Register Notices

Abstract

The collection of the information requested on the DS-1838 and DS-7783 is necessary for all Department non-employees who need a PIV. They are required to submit an application for a Personal Identification Card (DS-1838 domestically or DS-7783 overseas) at the time of hire. The information collected on the form is necessary to verify personal identity as required by the Federal Information Processing Standard Publication 201 (FIPS 201) and Homeland Security Presidential Directive 12 (HSPD 12). Employees must also use these forms, but the Paperwork Reduction Act does not apply to them; therefore, their numbers are not counted in this request.

Key Information

Previous ICR	202503-1405-005

Federal Register Notices

Authorizing Statutes

Abstract

Forms in this collection record the medical information necessary to determine whether an alien seeking entry to the United States has a medical or other condition affecting his or her eligibility for a visa or immigration benefit. Forms are completed by panel physicians on behalf of visa applicants; refugees; refugees and asylees (including “following-to-join"); and certain parolees.

Key Information

Previous ICR	202210-1093-001

Federal Register Notices

Authorizing Statutes

Abstract

The Department of the Interior (DOI) developed the DI-4016, Request for Individual Access to Records Protected under the Privacy Act, and DI-4017, Consent for Disclosure of Records Protected under the Privacy Act, forms for individuals to submit requests for accessing, and consenting to the disclosure of, records protected under the Privacy Act of 1974, as amended, 5 U.S.C. 552a. The DI-4016, Request for Individual Access to Records Protected under the Privacy Act, form is used by individuals seeking access to their records and any information pertaining to them that are maintained in DOI’s systems of records. The DI-4017, Consent for Disclosure of Records Protected under the Privacy Act, form provides written consent of the individual to whom the record pertains when disclosing records to another person or an agency. The Privacy Act provides that "the parent of any minor, or the legal guardian of any individual who has been declared to be incompetent due to physical or mental incapacity or age by a court of competent jurisdiction, may act on behalf of the individual.” Therefore, these forms may also be used by a parent or legal guardian. These forms were based on the templates provided in the OMB Memorandum M-21-04, Modernizing Access to and Consent for Disclosure of Records Subject to the Privacy Act, issued on November 12, 2020, which implements the requirements of the Creating Advanced Streamlined Electronic Services for Constituents Act of 2019 (“CASES Act”). The CASES Act was issued in an effort to modernize the Privacy Act request process by requiring agencies to accept access and consent forms from individuals properly identity-proofed and authenticated remotely through a digital service option in addition to an agency’s existing process. The CASES Act also requires the forms to be posted on the agency website's privacy program page and the website updated to include instructions on how individuals may submit requests digitally.

Key Information

Previous ICR	202507-0560-003

Federal Register Notices

Authorizing Statutes

Abstract

Information is used to determine applicant's eligibility for a direct loan; ensure cash flow projections are based on actual production history; ensure that loan is adequately secured; and obtain assignments on income or sales proceeds to ensure timely repayment of the loan.

Key Information

Previous ICR	202405-0938-015

Federal Register Notices

Authorizing Statutes

Abstract

Section 1847A of the Social Security Act requires that the Medicare Part B payment amounts for covered drugs and biologicals not paid on a cost or prospective payment basis be based upon manufacturers’ average sales price data submitted quarterly to the Centers for Medicare & Medicaid Services (CMS). The reporting requirements are specified in 42 CFR part 414, subpart J.

Key Information

Previous ICR	202304-0906-001

Federal Register Notices

Authorizing Statutes

Abstract

HRSA’s Ryan White HIV/AIDS Program (RWHAP) funds and coordinates with cities, states and territories, and local clinics/community-based organizations to deliver efficient and effective HIV care, treatment, and support to low-income people diagnosed with HIV. Grant recipients funded under Parts A and B of the RWHAP (codified under Title XXVI of the Public Health Service Act) are required to report financial data to HRSA annually in their Federal Financial Report (FFR SF-425). In addition to the FFR, the RWHAP Parts A and B grant recipients are required to identify and report the unobligated balance (UOB) by itemized subprogram/funding stream source (Formula, Minority AIDS Initiative [MAI], AIDS Drug Assistance Program [ADAP], etc.). As of April 22, 2021, the grant recipients must submit the subprogram breakdown of the UOB on their FFR in the Payment Management System (PMS). Grant recipients are also required to specify RWHAP Rebate Funding received in the fiscal year in the UOB table. HRSA uses the UOB and rebate addendum financial information to determine formula funding as directed by the RWHAP statute.

Key Information

Previous ICR	202305-0906-001

Federal Register Notices

Authorizing Statutes

Abstract

HRSA disbursed the COVID-19 Provider Relief Fund (PRF) and American Rescue Plan (ARP) Rural payments to eligible health care providers to support health care-related expenses or lost revenues attributable to the COVID-19 pandemic. Recipients of PRF and ARP Rural payments agreed to a set of Terms and Conditions (T&C), which, among other requirements, mandate compliance with certain reporting requirements that facilitate appropriate oversight of recipients’ use of funds. Providers who have attested to the T&Cs regarding their PRF and ARP Rural payment(s), including the requirement that the provider "shall submit reports as the Secretary determines are needed to ensure compliance with conditions that are imposed on this Payment, and such reports shall be in such form, with such content, as specified by the Secretary in future program instructions directed to all recipients," will use the HRSA Consolidated PRF Reporting Portal to submit information about their use of PRF and ARP Rural payments. While the standard reporting time periods have ended, there are still scenarios in which providers will be required to submit reporting documents to HRSA

Key Information

Previous ICR	202312-1240-003

Federal Register Notices

Authorizing Statutes

Abstract

OWCP must reimburse beneficiaries for travel expenses for covered medical treatment. In order to determine whether amounts requested as travel expenses are appropriate, OWCP must receive certain data elements, including the signature of the physician for medical expenses claimed under the BLBA. Form OWCP-957 is the standard format for the collection of these data elements. The regulations implementing these three statutes allow for the collection of information needed to enable OWCP to determine if reimbursement requests for travel expenses should be paid.

Key Information

Previous ICR	202207-1405-005

Federal Register Notices

Authorizing Statutes

Abstract

The DS-7794 is used to record the medical information necessary to determine whether an alien seeking entry to the United States has a medical condition affecting his or her eligibility for a visa or immigration benefit.

Key Information

Previous ICR	202506-0920-007

Federal Register Notices

Abstract

The ORS is a national public health and public safety program created to help local communities reduce drug overdose and save lives. The ORS is co-funded by CDC and the Office of National Drug Control Policy (ONDCP) and implemented through partnerships with the National Foundation for the Centers for Disease Control and Prevention (CDCF) and the High Intensity Drug Trafficking Areas (HIDTA) program. The ORS is implemented by teams of Drug Intelligence Officers (DIOs) and Public Health Analysts (PHAs) who work together on drug overdose issues within and across sectors and jurisdictions. The data collected will be used to inform program enhancements and improvements and describe program successes. By collecting this data, CDC will be able to monitor ORS program implementation, ensure fidelity to ORS goals and strategies, inform the creation of technical assistance tools and resources, and highlight ORS successes to support program sustainability and continued funding. It will also provide CDC with the capacity to respond in a timely manner to requests for information about the program from the Department of Health and Human Services (HHS), the White House, Congress, and other sources. Change Request is submitted to modify ORS Quarterly Report Template. There is no change to previously approved burden.