An Information Collection Request (ICR) is a federal agency's request for approval from the Office of Management and Budget (OMB) to collect information from the public.
Under the Paperwork Reduction Act (PRA), agencies must justify why the information is needed and how it will be used.
Federal agencies are required to submit an ICR whenever they create, renew, modify, or discontinue an information collection. Each ICR includes a description of the collection,
supporting materials and documentation (such as forms, surveys, or scripts), and proof that the agency has met the requirements of the PRA.
The ICR is submitted to the The Office of Information and Regulatory Affairs (OIRA) within OMB for review and approval. OIRA grants approval for a maximum of three years, after
which the collection must be renewed through a new ICR submission.
ICRs are publicly available on RegInfo.gov, and additional guidance can be found in the FAQs.
Note: Presidential Action influences are notated for ICRs received between January 20, 2025 and July 19, 2025.
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| 202107-1076-003 | Indian Business Incubator Program (IBIP), 25 CFR 1187 | DOI/BIA | 2021-09-08 | Active | New collection (Request for a new OMB Control Number)
Indian Business Incubator Program (IBIP), 25 CFR 1187
Key Information
Abstract
This information collection is for the Office of Indian Economic Development (OIED), under the Office of the Assistant Secretary – Indian Affairs, to solicit and award grants to eligible business incubators who will provide services to Native American entrepreneurs in Tribal reservation communities. |
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| 202011-1028-001 | National Geological and Geophysical Data Preservation Program (NGGDPP) | DOI/GS | 2021-09-08 | Active | Extension without change of a currently approved collection
National Geological and Geophysical Data Preservation Program (NGGDPP)
Key Information
Abstract
The USGS NGGDPP offers financial support to State geological agencies to create metadata that will describe sample sites for State geological surveys that have related site-specific data resources. The purpose of these data collections are to preserve and provide access to samples (and any related data) that have been extracted from the earth to improve the breadth of information that can be used to inform science and decision-making now and in the future. The USGS envisions a national network of cooperating geoscience materials and data repositories that are operated independently yet guided by common standards, procedures, and protocols for metadata. The holdings of all collections will be widely accessible through a common and mirrored Internet-based catalog, the National Digital Catalog. The holdings of the individual repositories will complement each other to preserve the geoscience assets of the Nation and serve as a comprehensive source of geoscience data and materials to serve national needs today and in the future. |
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| 202003-1028-002 | Hydrography Maintenance Portal (HMP) | DOI/GS | 2021-09-08 | Active | Existing collection in use without an OMB Control Number
Hydrography Maintenance Portal (HMP)
Key Information
Abstract
The Hydrography Maintenance Portal (HMP) is a website used by editors to ‘check out’ hydrography data from the National Hydrography Dataset (NHD). Editors can update the checked out data using a geographic information system (GIS), and subsequently check the data back into the official version of the NHD managed at the USGS after editing. |
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| 202109-0938-007 | Pre-Claim Review Demonstration for Inpatient Rehabilitation Facility Services (CMS-10765) | HHS/CMS | 2021-09-08 | Historical Active | New collection (Request for a new OMB Control Number)
Pre-Claim Review Demonstration for Inpatient Rehabilitation Facility Services (CMS-10765)
Key Information
Abstract
The Centers for Medicare & Medicaid Services (CMS) is requesting the Office of Management and Budget (OMB) approval for the Review Choice Demonstration for Inpatient Rehabilitation Facility (IRF) Services. This demonstration will assist in developing improved procedures for the identification, investigation, and prosecution of potential Medicare fraud. By ensuring that payments for IRF services are appropriate through either pre-claim or postpayment review, this demonstration also works toward the prevention and identification of potential fraud, waste, and abuse, as well as protecting the Medicare Trust Funds from improper payments while reducing Medicare appeals. CMS proposes performing the demonstration in Alabama, Pennsylvania, Texas, and California, as well as IRFs in any state that bill to the Medicare Administrative Contractor (MAC) jurisdictions JJ, JL, JH, and JE. |
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| 202108-1651-001 | Application for Allowance in Duties | DHS/USCBP | 2021-09-08 | Historical Active | Extension without change of a currently approved collection
Application for Allowance in Duties
Key Information
Abstract
This information collection is required by CBP in instances of claims of damaged or defective merchandise on which an allowance in duty is made in the liquidation of an entry. This information is used to substantiate importer's claims for such duty allowances. |
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| 202007-1014-008 | 30 CFR 254, Oil-Spill Response Requirements for Facilities Located Seaward of the Coast Line | DOI/BSEE | 2021-09-07 | Active | Extension without change of a currently approved collection
30 CFR 254, Oil-Spill Response Requirements for Facilities Located Seaward of the Coast Line
Key Information
Abstract
BSEE requires the information to ensure compliance with the Oil Pollution Act of 1990 (OPA). BSEE uses the information to determine effectiveness of spill-response capability; to verify that State plans meet the minimum OPA requirements; to verify OSR training of personnel; to assess availability and quantities of contractor equipment; to oversee spill-response efforts; to assess efforts to prevent oil spills or substantial threats of such discharges, etc. Respondents are primarily owners or operators of facilities located in both State and Federal waters seaward of the coast line. |
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| 202109-2040-001 | Clean Watersheds Needs Survey (CWNS) (Reinstatement) | EPA/OW | 2021-09-07 | Active | Reinstatement without change of a previously approved collection
Clean Watersheds Needs Survey (CWNS) (Reinstatement)
Key Information
Abstract
The Clean Watersheds Needs Survey (CWNS) is required by Clean Water Act (CWA) Sections 205(a) and 516. It is a periodic inventory of existing and planned publicly owned wastewater conveyance and treatment facilities, combined sewer overflow correction, stormwater management and other water pollution control facilities in the United States, as well as an estimate of how many of these facilities need to be built. The CWNS is a joint effort between EPA and the states. The CWNS collects cost and technical data from states that are associated with publicly owned treatment works and other water pollution control facilities, existing and planned. The respondents who provide this information to Environmental Protection Agency (EPA or Agency) are state agencies responsible for environmental pollution control and local facility contacts who provide documentation to the states. Periodically, the states request data or documentation from contacts at the facility or local government level. These respondents are referred to as facilities. No confidential information is used, nor is sensitive information protected from release under the Public Information Act. EPA achieves national consistency in the final results through the application of uniform guidelines and validation techniques. |
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| 202108-1004-005 | Color-of-Title Application (43 CFR Subparts 2540 and 2541) | DOI/BLM | 2021-09-07 | Active | Extension without change of a currently approved collection
Color-of-Title Application (43 CFR Subparts 2540 and 2541)
Key Information
Abstract
The Bureau of Land Management (BLM) collects and uses the information to determine the validity of a claim under the Color-of-Title Act. The following forms comprise an application in support of a Color-of-Title claim: (a) 2540-1, Color-of-Title Application; (b) 2540-2, Conveyances Affecting Color or Claim of Title; and (c) 2540-3, Color-of-Title Tax Levy and Payment Record. A respondent must submit all of the forms concurrently, or the BLM will reject a claim as insufficient. This request is for OMB to renew for this OMB control number for an additional three years. |
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| 202108-3145-002 | National Science Foundation Research Infrastructure Guide | NSF | 2021-09-07 | Active | Revision of a currently approved collection
National Science Foundation Research Infrastructure Guide
Key Information
Abstract
This manual provides guidance, policies, requirements, and recommended procedures and best practices to NSF staff and award recipients on effective project planning, management, and oversight of large facilities. |
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| 202109-2060-001 | NSPS for Petroleum Refineries (40 CFR Part 60, Subpart J) (Renewal) | EPA/OAR | 2021-09-07 | Active | Extension without change of a currently approved collection
NSPS for Petroleum Refineries (40 CFR Part 60, Subpart J) (Renewal)
Key Information
Abstract
The New Source Performance Standards (NSPS) for Petroleum Refineries were proposed on June 11, 1973, promulgated on March 8, 1974, and amended on both September 12, 2012 and December 1, 2015. The 2015 amendment finalized technical clarifications to improve consistency and clarity and to address issues related to a 2008 industry petition for reconsideration. The 2012 amendment allowed the option for affected sources to comply with Subpart J by following the applicable provisions in the NSPS Subpart Ja rule. The affected sources are: 1) fluid catalytic cracking unit (FCCU) catalyst regenerator or fuel gas combustion device (FGCD) other than a flare that commenced construction, reconstruction or modification after June 11, 1973 and on/or before May 14, 2007; 2) FGCD that is also a flare that commenced construction, reconstruction or modification after June 11, 1973 and on/or before June 24, 2008; or 3) any Claus sulfur recovery plant with a design capacity of more than 20 long tons per day sulfur feed which commenced construction, reconstruction or modification after October 4, 1976 and on/or before May 14, 2007. In general, all NSPS standards require initial notifications, performance tests, and periodic reports by the owners/operators of the affected facilities. They are also required to maintain records of the occurrence and duration of any startup, shutdown, or malfunction in the operation of an affected facility, or any period during which the monitoring system is inoperative. These notifications, reports, and records are essential in determining compliance with 40 CFR Part 60, Subpart J. |
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| 202108-1004-002 | Desert Land Entry Application (43 CFR Part 2520) | DOI/BLM | 2021-09-07 | Active | Extension without change of a currently approved collection
Desert Land Entry Application (43 CFR Part 2520)
Key Information
Abstract
The information collected by Form 2520-1, Desert Land Entry Application is used to determine if an individual is eligible to make a desert land entry to reclaim, irrigate, and cultivate semiarid public lands administered by the Bureau of Land Management (BLM) in the western United States. This request is for OMB to renew this OMB control number for an additional three years. |
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| 202104-0960-009 | Request for Workers' Compensation/Public Disability Benefit Information | SSA | 2021-09-03 | Active | Revision of a currently approved collection
Request for Workers' Compensation/Public Disability Benefit Information
Key Information
Abstract
Claimants for Social Security disability payments who are also receiving WC/PDB must notify SSA about their WC/PDB, so the agency can consider a possible offset to reduce their Social Security disability payments accordingly. If claimants provide necessary evidence, such as a copy of their award notice, benefit check, etc. that is sufficient verification. In cases where claimants cannot provide such evidence, SSA uses Form SSA-1709 to obtain WC/PDB payment evidence. The entity paying the WC/PDB benefits, its agent (such as insurance carrier), or an administrating public agency completes this form. The respondents are Federal, State, and local agencies; insurance carriers; and public or private self-insured companies administering WC/PDB benefits to disability claimants. |
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| 202104-0960-006 | Function Report - Adult | SSA | 2021-09-03 | Active | Revision of a currently approved collection
Function Report - Adult
Key Information
Abstract
Individuals receiving or applying for SSDI or SSI must provide medical evidence and other proof SSA requires to prove their disability. SSA staff, and, on our behalf, State Disability Determination Services’ (DDS) employees, collect the information via paper Form SSA-3373, or through an in-person or telephone interview for cases where we need information about a claimant’s activities and abilities to evaluate the claimant’s disability. We use the information to document how claimants’ disabilities affect their ability to function, and to determine eligibility, or continued eligibility, for SSI and SSDI claims. The respondents are adult Title II and Title XVI claimants, or current recipients undergoing redeterminations of benefits. |
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| 202108-0960-011 | Statement of Care and Responsibility for Beneficiary | SSA | 2021-09-03 | Active | Revision of a currently approved collection
Statement of Care and Responsibility for Beneficiary
Key Information
Abstract
SSA uses the information from Form SSA-788 to verify payee applicants' statements of concern and to identify other potential payees. SSA is concerned with selecting the most qualified representative payee who will use Social Security benefits in the beneficiary's best interest. SSA considers factors such as the payee applicant's capacity to perform payee duties, awareness of the beneficiary's situation and needs, demonstration of past and current concern for the beneficiary's well-being, etc. If the payee applicant does not have custody of the beneficiary, SSA will obtain information from the custodian for evaluation against information provided by the applicant. Respondents are individuals who have custody of the beneficiary in cases where someone else has filed to be the beneficiary's representative payee. Form SSA-788 is an agency generated form, which SSA completes the top portion of Form SSA-788, sends to the custodians of the beneficiaries, and they complete the rest of the form and gives back to us. |
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| 202109-3084-001CF | Certification of Vaccination Common Form | FTC | 2021-09-01 | Active | RCF New
Certification of Vaccination Common Form
Key Information
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| 202109-1902-003CF | Certification of Vaccination Status | FERC | 2021-09-01 | Active | RCF New
Certification of Vaccination Status
Key Information
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| 202105-0938-005 | Initial and Renewal Model of Care Submissions, and Off-cycle Submission of Summaries of Model of Care Changes (CMS-10565) | HHS/CMS | 2021-08-31 | Historical Active | Revision of a currently approved collection
Initial and Renewal Model of Care Submissions, and Off-cycle Submission of Summaries of Model of Care Changes (CMS-10565)
Key Information
Authorizing Statutes
Pub.L. 111 - 148 3205(e) (View Law) Pub.L. 111 - 148 1859 (b)(6)(B)(iii) (View Law) Abstract
Medicare Advantage (MA) Special Needs Plans (SNPs) are required to submit Models of Care (MOCs) as a component of the MA application process. The Affordable Care Act (ACA) requires that all SNPs be approved by the National Committee for Quality Assurance (NCQA). This approval is based on NCQA’s evaluation of SNPs using MOC scoring guidelines developed by CMS and NCQA for the Secretary of the Department of Health and Human Services (DHHS). The MOC elements cover the following areas: MOC 1- Description of the SNP Population; MOC 2 - Care Coordination; MOC 3 - Provider Network; and MOC 4 - Quality Measurement & Performance Improvement. SNPs submit a MOC at time of their initial application and based on their scores, SNPs receive an approval for a period of 1, 2 or 3 years. After the approval period expires, SNPs are required to submit an updated MOC for review for their renewal process. CMS is also developing a MOC off-cycle revision process so that SNPs can revise the MOC to modify its processes and strategies for providing care during their MOC approval period. CMS will require that SNPs submit summaries of their MOC revisions to CMS for NCQA evaluation when a SNP makes significant changes to its MOC during the approval period. NCQA will review the summary of changes to verify that the revisions are consistent with the acceptable, high quality standards as included in the original approved MOC. CMS will begin collecting MOCs mid-January 2016 to coincide with the MA Application collection. |
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| 202108-3145-001CF | National Science Foundation Certification of Vaccination - Contractors and Visitors | NSF | 2021-08-31 | Active | RCF New
National Science Foundation Certification of Vaccination - Contractors and Visitors
Key Information
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| 202108-2060-001 | Federal Implementation Plans under the Clean Air Act for Indian Reservations in Idaho, Oregon, and Washington (40 CFR Part 49, Subpart M) (Renewal) | EPA/OAR | 2021-08-31 | Active | Extension without change of a currently approved collection
Federal Implementation Plans under the Clean Air Act for Indian Reservations in Idaho, Oregon, and Washington (40 CFR Part 49, Subpart M) (Renewal)
Key Information
Abstract
In 2005, the U.S. Environmental Protection Agency (EPA) promulgated Federal Implementation Plans (FIPs) under the Clean Air Act (CAA or the Act) for Indian reservations located in Idaho, Oregon and Washington. The FIPs include basic air quality regulations to protect health and welfare on Indian reservations located in the Pacific Northwest. These rules are implemented by EPA and delegated to Tribes. The Office of Management and Budget (OMB) approved an Information Collection Request (ICR) titled Federal Implementation Plans Under the Clean Air Act for Indian Reservations in Idaho, Oregon and Washington, on November 16, 2004, and approved renewals on May 23, 2008, August 3, 2011, March 16, 2015, and August 31, 2018. This ICR is a renewal of the August 2018 ICR and presents updated burden estimates for respondents to comply with various FIP provisions required by 40 CFR Part 49, Subpart M Implementation Plans for Tribes in Region 10. |
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| 202108-1093-001CF | DOI Certification of Vaccination Attestation Common Form (Contractors and Visitors) | DOI/OS | 2021-08-31 | Active | RCF New
DOI Certification of Vaccination Attestation Common Form (Contractors and Visitors)
Key Information
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