Change Requests

What is an ICR?

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.

When are they submitted?

Federal agencies are required to submit an ICR whenever they create, renew, modify 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.

Where to find an ICR?

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.

Showing 25 of 422 results

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Title
Reference Number
OMB Control Number
Agency
Received
Concluded
Action
Status
Request Type
Presidential Action

Title:

Petition for U Nonimmigrant Status

Reference Number:

Omb Control Number:

1615-0104

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Petition for U Nonimmigrant Status

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

18 USC 1351

Presidential Action:

Title:

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

Reference Number:

Omb Control Number:

1615-0099

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Application for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; & Declaration of Law Enforcement Officer for Victim of Trafficking in Persons

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 106 - 386 107(e)

Presidential Action:

Title:

Application for Naturalization

Reference Number:

Omb Control Number:

1615-0052

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Application for Naturalization

Key Information

Abstract

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

Federal Register Notices

60-Day FRN

Authorizing Statutes

8 USC 1427

Presidential Action:

Title:

Application for Citizenship and Issuance of Certificate Under Section 322

Reference Number:

Omb Control Number:

1615-0087

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Application for Citizenship and Issuance of Certificate Under Section 322

Key Information

Abstract

The data collected on this form is used by U.S. Citizenship and Immigration Services (USCIS) to determine eligibility for the requested immigration benefit of citizenship. The form serves the purpose of standardizing requests for the benefit, and will ensure that the basic information required to assess eligibility is provided by the applicants. USCIS removing from the "Note" section a requirement indicating that a passport must be issued per the current instruction; there is no requirement for this and eliminating this will eliminate any confusion on the part of the respondent.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

8 USC 1433

Presidential Action:

Title:

Declaration of Financial Support

Reference Number:

Omb Control Number:

1615-0014

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Declaration of Financial Support

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

8 USC 1184

Presidential Action:

Title:

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

Reference Number:

Omb Control Number:

1615-0017

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Application for Advance Permission to Enter as a Nonimmigrant (Pursuant to Section 212(d)(3)(A)(ii) of the INA, Section 212(d)(13) of the INA, or Section 212(d)(14) of the INA)

Key Information

Abstract

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

Federal Register Notices

60-Day FRN

Authorizing Statutes

8 USC 1182

Presidential Action:

Title:

Application for Travel Document

Reference Number:

Omb Control Number:

1615-0013

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Application for Travel Document

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

8 USC 1103
8 USC 1203
8 USC 1158
8 USC 1204
8 USC 1182

Presidential Action:

Title:

Biographic Information (for Deferred Action)

Reference Number:

Omb Control Number:

1615-0008

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-19

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Biographic Information (for Deferred Action)

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

8 USC 1103
8 USC 1324a
42 USC 405
8 USC 1158
8 USC 1225
8 USC 1228

Presidential Action:

Title:

Administration of the Longshore and Harbor Workers' Compensation Act

Reference Number:

Omb Control Number:

1240-0014

Agency:

DOL/OWCP

Received:

2025-02-19

Concluded:

2025-02-28

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Administration of the Longshore and Harbor Workers' Compensation Act

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

33 USC 944
33 USC 939

Presidential Action:

Title:

Application for Replacement Naturalization/Citizenship Document

Reference Number:

Omb Control Number:

1615-0091

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved without change

Status:

Historical Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Application for Replacement Naturalization/Citizenship Document

Key Information

Abstract

Section 343(a) of the Immigration and Nationality Act (INA) (8 U.S.C. 1454) provides that if any certificate of naturalization or citizenship issued to any citizen or any declaration of intention furnished to any declarant is lost, mutilated, or destroyed, the citizen or declarant may make application to the Secretary of Homeland Security for a new certificate or declaration. Additionally, INA 343(b) provides for the issuance of special certificates of naturalization for the purpose of obtaining recognition as a citizen of the United States by a foreign state, and INA 343(c) provides for the issuance of a new certificate of naturalization in cases where a naturalized citizen has changed his or her name after naturalization. Finally, 8 C.F.R. 338.5 provides for the issuance of a corrected Certificate of Naturalization where the certificate does not conform to the facts shown on the application for naturalization or a clerical error was made in preparing the certificate. The Form N-565 is used to apply for a replacement of a Declaration of Intention, Naturalization Certificate, Certificate of Citizenship or Repatriation Certificate, or to apply for a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

8 USC 1454

Presidential Action:

Title:

Application to Register Permanent Residence or Adjust Status

Reference Number:

Omb Control Number:

1615-0023

Agency:

DHS/USCIS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Application to Register Permanent Residence or Adjust Status

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

8 USC 1255

Presidential Action:

Title:

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

Reference Number:

Omb Control Number:

0607-1029

Agency:

DOC/CENSUS

Received:

2025-02-19

Concluded:

2025-02-20

Action:

Approved with change

Status:

Historical Active

Request Type:

No material or nonsubstantive change to a currently approved collection
High-Frequency Surveys Program, Household Trends and Outlook Pulse Survey NSC

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

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

Presidential Action:

Title:

Title V State Sexual Risk Avoidance Education

Reference Number:

Omb Control Number:

0970-0551

Agency:

HHS/ACF

Received:

2025-02-18

Concluded:

2025-02-21

Action:

Approved without change

Status:

Historical Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Title V State Sexual Risk Avoidance Education

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 117 - 103 303
Pub.L. 115 - 123 50502
42 USC 710

Presidential Action:

Title:

Volunteer Service Application and Voluntary Intern Application

Reference Number:

Omb Control Number:

3095-0060

Agency:

NARA

Received:

2025-02-18

Concluded:

2025-03-19

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Volunteer Service Application and Voluntary Intern Application

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Presidential Action:

Title:

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

Reference Number:

Omb Control Number:

1405-0160

Agency:

STATE/AFA

Received:

2025-02-18

Concluded:

2025-06-25

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

22 USC 211a

Presidential Action:

Title:

Domestic and International Clients Export Services and Customized Forms

Reference Number:

Omb Control Number:

0625-0143

Agency:

DOC/ITA

Received:

2025-02-18

Concluded:

2025-04-18

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Domestic and International Clients Export Services and Customized Forms

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

15 USC 4724

Presidential Action:

Title:

U.S. Passport Renewal Application for Eligible Individuals

Reference Number:

Omb Control Number:

1405-0020

Agency:

STATE/AFA

Received:

2025-02-18

Concluded:

2025-06-25

Action:

Approved with change

Status:

Active

Request Type:

Revision of a currently approved collection
U.S. Passport Renewal Application for Eligible Individuals

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

22 USC 211a
8 USC 1104

Presidential Action:

Title:

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

Reference Number:

Omb Control Number:

0970-0628

Agency:

HHS/ACF

Received:

2025-02-15

Concluded:

2025-02-21

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Office of Community Services Affordable Housing and Supportive Services Demonstration Data Collection

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 1310

Presidential Action:

Title:

Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation

Reference Number:

Omb Control Number:

0970-0338

Agency:

HHS/ACF

Received:

2025-02-15

Concluded:

2025-02-21

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation

Key Information

Abstract

Revised instructions for the TANF and SSP-MOE Data Report were approved as part of the TANF Data Reporting for Work Participation (OMB #0970-0338) package with an expiration date of 10/31/2026. Pursuant to the U.S. Office of Personnel Management (OPM) Initial Guidance Regarding Executive Order Defending Women provided on January 29, 2025, OFA proposes a few minor changes to instructions to ensure alignment with OPM guidance. We are requesting expedited approval of these minor changes to ensure that states are able to continue reporting with minimum disruption.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 601, 607, 609, 611, 613, 1302

Presidential Action:

Title:

ACF Performance Progress Report - Program Indicators

Reference Number:

Omb Control Number:

0970-0406

Agency:

HHS/ACF

Received:

2025-02-15

Concluded:

2025-02-21

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
ACF Performance Progress Report - Program Indicators

Key Information

Abstract

The Office of Grants Management (OGM), in the Administration for Children and Families (ACF) is proposing the continued collection of program performance data for ACF’s discretionary grantees. In 2016, OGM developed the ACF-OGM-SF-PPR-B to collect this data based on the basic template of the OMB-approved reporting format of the Program Performance Report. The form was renewed in 2019 with no changes. OGM now seeks to renew the ACF-OGM-SF-PPR-B for continued use by ACF with minor changes to improve the function of the form and utility to the federal government. This includes the addition of a program indicator to collect information on activities recipients conducted during the reporting period to address or advance equity. Addition of this program indicator supports the Biden-Harris Administration’s equity agenda as outlined in Executive Order 13985, Advancing Racial Equity and Support for Underserved Communities Through the Federal Government. Other minor updates are described in A15 of Supporting Statement A. The requirement for grantees to report on performance is OMB grants policy. Specific citations are contained in: (1) 2 CFR 215 Uniform Administrative Requirements, cost Principles, and Audit Requirements for Federal Awards and (2) 45 CFR 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Department of Health and Human Services Awards. The Office of Grants Management (OGM), in the Administration for Children and Families (ACF) is proposing to update the form used for the collection of program performance data for ACF’s discretionary grant recipients. In 2016, OGM developed the ACF-OGM-SF-PPR-B to collect this data based on the basic template of the OMB-approved reporting format of the Program Performance Report and has renewed approval since implementation. OGM has made updates to the instructions to ensure they are current and clear and revised a program indicator in response to Executive Order 14151, Ending Radical and Wasteful Government DEI Programs and Preferences. This is a request for revisions to reword the submission instructions, change of the term grantee to recipient and remove an equity-related activity program indicator.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 111 - 352 12

Presidential Action:

Title:

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

Reference Number:

Omb Control Number:

0970-0060

Agency:

HHS/ACF

Received:

2025-02-15

Concluded:

2025-03-04

Action:

Approved with change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Low Income Home Energy Assistance Program (LIHEAP) Annual Report on Households Assisted

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 8629
42 USC 8621

Presidential Action:

Title:

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

Reference Number:

Omb Control Number:

0970-0509

Agency:

HHS/ACF

Received:

2025-02-15

Concluded:

2025-04-08

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Mental Health Assessment Form, Public Health Investigation Form: Active TB, and Public Health Investigation Form: Non-TB Illness

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

6 USC 279

Presidential Action:

Title:

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

Reference Number:

Omb Control Number:

0970-0215

Agency:

HHS/ACF

Received:

2025-02-15

Concluded:

2025-02-21

Action:

Approved without change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Tribal TANF Data Report, Tribal Annual Report and Tribal TANF Reasonable Cause/Corrective Action Documentation Process

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 612

Presidential Action:

Title:

National Human Trafficking Hotline (NHTH) Performance Indicators

Reference Number:

Omb Control Number:

0970-0598

Agency:

HHS/ACF

Received:

2025-02-15

Concluded:

2025-03-03

Action:

Approved with change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
National Human Trafficking Hotline (NHTH) Performance Indicators

Key Information

Abstract

Section 107(b)(1)(B)(ii) of the Trafficking Victims Protection Act of 2000 (TVPA), as amended at 22 U.S.C. § 7105(b)(1)(B)(ii), authorizes the Secretary of Health and Human Services to make a grant for a national communication system—the National Human Trafficking Hotline (NHTH)—to assist victims of severe forms of trafficking in persons in seeking help, receiving referrals, and reporting potential trafficking situations. The Office on Trafficking in Persons (OTIP) made an award in the form of a Cooperative Agreement to a single, competitively selected grant recipient to maintain and support operation of the NHTH throughout the United States and U.S. territories. The NHTH is a toll-free hotline, that operates 24 hours a day, every day of the year. National Human Trafficking Hotline Performance Indicators (OMB #0970-0598) is an active and approved collection of aggregate information about signalers (individuals who contact the NHTH) and from signalers regarding potential victims of a severe form of trafficking in persons and potential human trafficking situations. The information collected is reported on a monthly, semi-annual, and annual basis, and is necessary to support the monitoring of work done through the cooperative agreement, to ensure signalers receive the information and support requested, and to provide appropriate technical assistance (TA) to the grant recipient. To address performance issues and streamline internal signal processing procedures, the NHTH has audited its data collection practices and has identified indicators that are no longer in use, relevant, or otherwise necessary that can be removed to reduce the data collection and reporting burden on Hotline Advocates, the individuals employed by the grant recipient organization to operate the NHTH. This process included efforts to collapse, condense, or otherwise simplify lists of data elements for clarity. Per the Supporting Statement, this information collection does not seek to collect any information from signalers (respondents) that they would not otherwise provide to Hotline Advocates in order to seek help, receive referrals, or report potential trafficking cases. None of the proposed changes impact front-end data collection, or the questions that Hotline Advocates ask to ascertain the purpose of a signal and the signaler’s desired response (i.e. to issue a referral or make a tip). By contrast, each of the proposed changes impact only the solely-awarded grant recipient and the changes are being informed by efforts by the recipient described above. This request aims to bring the collection into alignment with the grant recipient’s back-end data collection practices (i.e. what Hotline Advocates record in their case management database to summarize the signal and actions taken in response). Each of the changes proposed seek to improve data capture and data quality.

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

22 USC 7105(b)(1)(B)(ii)

Presidential Action:

Title:

Medical Assessment Form and Dental Assessment Form

Reference Number:

Omb Control Number:

0970-0466

Agency:

HHS/ACF

Received:

2025-02-15

Concluded:

2025-04-08

Action:

Approved with change

Status:

Active

Request Type:

No material or nonsubstantive change to a currently approved collection
Medical Assessment Form and Dental Assessment Form

Key Information

Abstract

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

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

6 USC 279

Presidential Action:

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