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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202502-1240-005 | Administration of the Longshore and Harbor Workers' Compensation Act | DOL/OWCP | 2025-02-19 | Active | 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. |
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202502-0607-003 | High-Frequency Surveys Program, Household Trends and Outlook Pulse Survey NSC | DOC/CENSUS | 2025-02-19 | Historical Active | 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. |
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202502-1615-009 | Application for Replacement Naturalization/Citizenship Document | DHS/USCIS | 2025-02-19 | Historical Active | 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. |
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202502-1615-011 | Application for Travel Document | DHS/USCIS | 2025-02-19 | Active | No material or nonsubstantive change to a currently approved collection
Application for Travel Document
Key Information
Authorizing Statutes![]() ![]() 8 USC 1103 (View Law) 8 USC 1203 (View Law) 8 USC 1158 (View Law) 8 USC 1204 (View Law) 8 USC 1182 (View Law) 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. |
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202502-1615-008 | Declaration of Financial Support | DHS/USCIS | 2025-02-19 | Active | 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. |
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202502-1615-012 | 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) | DHS/USCIS | 2025-02-19 | Active | 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. |
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202502-2900-005 | NCA Customer Satisfaction Surveys | VA | 2025-02-19 | Active | No material or nonsubstantive change to a currently approved collection
NCA Customer Satisfaction Surveys
Key Information
Abstract![]() ![]() The information will be used to improve the quality of VA services and help shape the direction and focus of specific programs and services. |
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202502-1405-002 | Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement | STATE/AFA | 2025-02-18 | Active | 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. |
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202502-1405-003 | U.S. Passport Renewal Application for Eligible Individuals | STATE/AFA | 2025-02-18 | Active | 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. |
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202502-0970-002 | Title V State Sexual Risk Avoidance Education | HHS/ACF | 2025-02-18 | Historical Active | No material or nonsubstantive change to a currently approved collection
Title V State Sexual Risk Avoidance Education
Key Information
Authorizing Statutes![]() ![]() 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. |
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202502-0625-001 | Domestic and International Clients Export Services and Customized Forms | DOC/ITA | 2025-02-18 | Active | 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. |
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202502-3095-001 | Volunteer Service Application and Voluntary Intern Application | NARA | 2025-02-18 | Active | 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 |
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202502-0970-001 | Administration for Children and Families Generic for Engagement Efforts | HHS/ACF | 2025-02-15 | Active | No material or nonsubstantive change to a currently approved collection
Administration for Children and Families Generic for Engagement Efforts
Key Information
Abstract![]() ![]() This umbrella generic was established for use by the Administration for Children and Families (ACF) when efforts to engage individuals and groups who could provide valuable information to inform ACF programs and work are subject to the Paperwork Reduction Act (PRA). This includes but is not limited to those who are served, or have been served by ACF, those with expertise in ACF program areas, and individuals invested in the outcomes of ACF research and evaluation. Groups and individuals to actively engage may include but are not limited to service providers; developers of interventions, innovations, or practices; program participants; subject matter experts; federal, grant program, or other program staff; federal, state, or local leadership; groups and individuals in programs’ communities; individuals with experience with or expertise in ACF services; and those in broader fields of study related to human services. |
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202502-0970-014 | Mental Health Assessment Form, Public Health Investigation Form: Active TB, and Public Health Investigation Form: Non-TB Illness | HHS/ACF | 2025-02-15 | Active | 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. |
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202502-0970-017 | State Court Improvement Program | HHS/ACF | 2025-02-15 | Active | No material or nonsubstantive change to a currently approved collection
State Court Improvement Program
Key Information
Abstract![]() ![]() Authorizing legislation makes clear that an application is required in order for State courts to receive CIP funding. A copy of the statute is attached with this submission for review (Attachment A - SSA Section 438). There are two parts of the application, which are necessary to properly administer the State Court Improvement Program (CIP): an annual year-end self-assessment report with an updated strategic plan. A complete application is required from state courts every five years which includes the self-assessment and new strategic plan. Annually, the self-assessment should thoroughly be updated to reflect progress and challenges over the prior year. The strategic plan is to be written as a five-year plan which looks forward and is updated as needed annually. Because it is a high-level summary, and the two documents work in tandem, the primary burden annually is completing the more detailed self-assessment and updates to strategic plans are often minor notes that flow out of that review. These documents are required to monitor progress of the program according to statute. Both the self-assessment and strategic plan template were developed with in-depth grantee input and feedback. The goal has been to design a process and tools that meet reporting requirements but also serve as helpful documents to grantees in conducting their work. The Self-Assessment had one optional Diversity, Equity, Inclusion, and Accessibility question and one bulleted item in another question that we request be removed to comply with the above Executive Orders. The Strategic Plan template did not have any items relevant to the following Executive Orders: Ending Radical and Wasteful Government Diversity, Equity, and Inclusion Programs and Preferencing and Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government |
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202502-0970-018 | National Human Trafficking Hotline (NHTH) Performance Indicators | HHS/ACF | 2025-02-15 | Active | 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. |
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202502-0970-021 | SOAR Demonstration Grant Program Data | HHS/ACF | 2025-02-15 | Active | No material or nonsubstantive change to a currently approved collection
SOAR Demonstration Grant Program Data
Key Information
Authorizing Statutes![]() ![]() Abstract![]() ![]() The SOAR (Stop, Observe, Ask, Respond) to Health and Wellness Training (SOAR) Demonstration Grant Program was developed in response to the Trafficking Victims Protection Act of 2000 (Public Law 106-386), § 106(b), as amended (22 U.S.C. 7104(b)(1) and 22 U.S.C. 7105(b)(1)(B), which calls on agencies to “increase public awareness of the dangers of trafficking and the protections that are available for victims of trafficking” and provide “services to assist potential victims of severe forms of trafficking in persons.” The program’s goal is to fund the implementation of SOAR trainings and capacity building efforts to identify, treat, and respond to patients or clients who have experienced severe forms of human trafficking as defined by the Trafficking Victims Protection Act (TVPA) of 2000, as amended, among their patient or client population. SOAR is a nationally recognized, accredited training program delivered by OTIP’s National Human Trafficking Training and Technical Assistance Center (NHTTAC) and designed to help target audiences identify and respond to those who are at risk of, are currently experiencing, or have experienced trafficking and connect them with needed resources. This information collection will enable OTIP to measure grant project performance, provide technical assistance to grant recipients, assess program outcomes, inform program evaluation, respond to congressional inquiries and mandated reports, including required contributions to the annual Attorney General’s Annual Report to Congress on U.S. Government Activities to Combat Trafficking in Persons. 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. |
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202502-0970-009 | Low Income Home Energy Assistance Program (LIHEAP) Annual Report on Households Assisted | HHS/ACF | 2025-02-15 | Active | 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. |
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202502-0970-023 | Office of Human Services Emergency Preparedness and Response Disaster Human Services Case Management Intake Assessment, Resource Referral, and Case Management Plan | HHS/ACF | 2025-02-15 | Active | No material or nonsubstantive change to a currently approved collection
Office of Human Services Emergency Preparedness and Response Disaster Human Services Case Management Intake Assessment, Resource Referral, and Case Management Plan
Key Information
Abstract![]() ![]() The Administration for Children and Families (ACF) is requesting an extension with no changes to this information collection, which was originally approved in October 2023 through an emergency review, as authorized under 44 U.S.C. 3507 (subsection j). The forms under this request enable ACF’s Office of Human Services Emergency Preparedness and Response (OHSEPR) to provide case management support during disasters. The Disaster Human Services Case Management (DHSCM) program is authorized through appropriations language under the Children and Families Services account. It is operated by the Administration for Children and Families' (ACF) Office of Human Services Emergency Preparedness and Response (OHSEPR). OHSEPR is the lead in the Department for Health and Human Services (HHS) for human service preparation for, response to, and recovery from, natural disasters. The materials included in this request are necessary for OHSEPR to provide responsive disaster human services case management operations to support families that are currently displaced. The Administration for Children and Families (ACF) has updated the Disaster Human Services Intake Assessment Form to comply with Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government (Defending Women). The remaining four forms are already in compliance and do not require changes. |
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202502-0970-011 | Tribal TANF Data Report, Tribal Annual Report and Tribal TANF Reasonable Cause/Corrective Action Documentation Process | HHS/ACF | 2025-02-15 | Active | 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. |