Information Collection Request (ICR) Tracker

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The Office of Child Support Enforcement (OCSE) helps state child support agencies (CSA) develop, manage, and operate their programs effectively according to federal law. OCSE operates the Federal Collections Enforcement (FCE) program, which provides limited enforcement services that facilitate collecting past-due child and spousal support. This information collection ensures continued compliance with federal law that requires and governs the Federal Tax Refund Offset, Administrative Offset, and Passport Denial programs. The Federal Tax Refund Offset and Administrative Offset programs are conducted by OCSE and the Department of the Treasury’s (U.S. Treasury) Bureau of the Fiscal Service (BFS). The Passport Denial Program is conducted by OCSE and the U.S. Department of State (DOS). The information collection activities are authorized as follows: U.S. Department of Health and Human Services (HHS) regulation requires state CSAs to notify OCSE of any deletion of or change in the debt submitted for federal tax refund offset. U.S. Treasury regulations also require states to notify OCSE of any decrease in or elimination of an amount referred for collection by federal income tax refund offset and by administrative offset within timeframes established by OCSE. 45 CFR 303.72(d)(2); 31 CFR 285.1(g); and 31 CFR 285.3(c)(5). The Federal Tax Refund Offset Program requires state CSAs to submit past-due support case information that meets specific criteria to offset a federal tax refund of a noncustodial parent owing past-due support. 42 U.S.C. §§ 652(b) and 664; 26 U.S.C. § 6402(c); 45 CFR 302.60 and 303.72. The Administrative Offset Program requires state CSAs to submit past-due support case information that meets specific criteria to withhold federal payments, other than federal tax refunds, to a noncustodial parent who owes past-due support. State participation in the Administrative Offset Program is optional, but states opting to participate must comply with federal requirements, including submitting the information required for the proposed collection. 31 U.S.C. § 3716(h); the Debt Collection Improvement Act of 1996 (Pub. L. 104-134, April 26, 1996); 31 CFR 285.1 and 285.3. The Passport Denial Program requires state CSAs to submit to DOS past-due support case information that meets specific criteria for the denial, revocation, restriction, or limitation of a passport held by a noncustodial parent who owes past-due support. 42 U.S.C. §§ 654(31) and 652(k); 22 CFR 51.60. State CSAs must submit the Annual Certification Letter to certify that each case submitted to OCSE for the Federal Tax Refund Offset, Administrative Offset, and Passport Denial programs meets federal requirements. 42 U.S.C. § 664; 31 CFR 285.1 and 285.3; 42 U.S.C. § 654(31). OCSE made minor formatting enhancements to the FCE Portal screens and removed the option to select gender. These program changes do not impact the burden.

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The NIH Loan Repayment Programs (LRPs) are designed to attract highly qualified physicians and other scientific or medical personnel to research opportunities at the National Institutes of Health (NIH, Intramural) and non-NIH sites (Extramural). Currently, there are three Intramural and six Extramural subcategories. Intramural subcategories include AIDS Research, Clinical Research for Individuals from Disadvantaged Backgrounds, and General Research. Extramural subcategories include Clinical Research, Pediatric Research, Contraception and Infertility Research, Health Disparities Research, Clinical Research for Individuals from Disadvantaged Backgrounds, and Research in Emerging Areas Critical to Human Health. Data collected through application forms is necessary to determine an applicant’s eligibility for the program, including the applicant’s research plans and career interests.

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The Trafficking Victims Protection Act of 2000 (TVPA), as amended, authorizes the Secretary of Health and Human Services (HHS) to expand benefits and services to victims of severe forms of trafficking in persons in the United States (U.S.), without regard to their immigration status. The TVPA also authorizes HHS to establish and strengthen programs to assist United States citizens and lawful permanent residents who have experienced sex trafficking or severe forms of trafficking in persons (22 U.S.C. § 7105(f)(1)). Acting under a delegation of authority from the Secretary of HHS, the Administration for Children and Families (ACF) awards cooperative agreements to organizations to establish a program to assist U.S. citizens and lawful permanent residents who have experienced human trafficking through the Domestic Victims of Human Trafficking (DVHT) Program. The central purpose of the DVHT Program is to connect survivors with the services they need to improve their well-being and health outcomes. Domestic Victims of Human Trafficking Program Data (OMB #0970-0542) is an active and approved collection of client-level data on those served through the DVHT Program. The information collected allows ACF to evaluate service delivery efforts, inform prevention programming, and monitor program outcomes. In addition to client-level data, information on the type and cost of services provided through the program is collected to enable ACF to respond to congressional inquiries related to program spending and to provide technical assistance to grant recipients on managing available funding for individuals and households enrolled in the program. DVHT currently inclusive of two distinct award programs: the Domestic Victims of Human Trafficking and Services Outreach Program (DVHT-SO) and the Demonstration Grants to Strengthen the Response to Victims of Human Trafficking in Native Communities (VHT-NC) Program. The performance indicators and data collection instruments under OMB #0970-0542 apply to both DVHT programs. The following ICR has been updated with non substantive changes in response to the Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government Executive Order (Defending Women EO) and recent Presidential Actions related to diversity, equity, and inclusion (DEI), such as those covered under the EO Initial Recissions of Harmful Executive Orders and Actions.

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The goal of the SRAE PAS is to collect performance measures data from SRAE grant recipients and their program participants ages 10–20 on: the characteristics of youth involved in programming; youth sexual behavior, sexual behavior intentions, and behaviors relevant to the success sequence; the range of services youth receive; program structure, cost, and support for implementation; program attendance, reach, and dosage; how programs addressed the A–F topics; and youth outcomes at program exit. The performance measures have and will continue to allow both the Administration for Children and Families (ACF) program office and grant recipients to monitor and report on progress in implementing SRAE programs and informs technical assistance. The following ICR has been updated with non substantive changes in response to the Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government Executive Order (Defending Women EO) and recent Presidential Actions related to diversity, equity, and inclusion (DEI), such as those covered under the EO Initial Recissions of Harmful Executive Orders and Actions.

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Information collected for the DD-1833 and the PRMS system is used to positively identify, authenticate, support and recover isolated or missing DoD persons of interest. In the interest of protecting the force and returning personnel who support the DoD to their units, families and country, the information collected for the ISOPREP is a force requirement for those DoD military and civilians serving overseas.

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The STD Surveillance Network provides critical clinical, demographic and behavioral information through enhanced and sentinel surveillance among people diagnosed with gonorrhea, syphilis and those persons seeking care at STD clinics in order to enhance STD surveillance data, to inform a more comprehensive understanding of epidemiologic trends and determinants of STDs of interest, monitor public health program impact and provide a more robust evidence base for directing public health action. This change request is to adhere to recent executive orders.

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The Office of Refugee Resettlement (ORR) Unaccompanied Alien Children (UAC) Bureau provides care and custody for unaccompanied alien children until they can be safely released to a sponsor, repatriated to their home country, or obtain lawful immigration status. ORR funds residential care provider facilities that provide temporary housing and other services to children in ORR custody. Generally, care provider facilities are State-licensed, except those located in states unwilling to consider them for licensure and temporary emergency or influx care facilities and must meet ORR requirements to ensure a high-level quality of care. In order to adequately provide for the safety and wellbeing of children in ORR care, ORR conducts assessments of the child upon admission and at routine intervals while in ORR custody. Concurrently, ORR must identify and assess the suitability of potential sponsors and household members to ensure safe and timely release of the child to vetted and adult, qualified to provide for the child’s physical and emotional wellbeing. ORR uses several instruments to carry out its responsibilities with respect to UAC. These instruments are used, for example, to evaluate the child’s physical and mental health status, capture important biographic data, determine risk of sexual abuse or victimization, and enable ORR to track high-level milestones in the child’s case up through release. ORR has also developed an instrument to identify and screen potential sponsors. The instruments in this proposed information collection allow ORR to document the findings of these assessments as required by the Homeland Security Act of 2002 (6 U.S.C. 279); the Trafficking Victims Protection Reauthorization Act of 2008 (8 U.S.C. 1232); the Foundational Rule, 45 C.F.R. Part 410; and the Prevention of Sexual Abuse Interim Final Rule, 45 C.F.R. Part 411. Forms transferred from the Services information collection (OMB # 0970-0553) were last approved by OMB on August 22, 2024 and expire on April 30, 2025. Once approved, the Assessments information collection will contain a total of 9 unique, revised forms.

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The Office of Refugee Resettlement (ORR) Unaccompanied Alien Children (UAC) Bureau provides care and custody for unaccompanied alien children until they can be safely released to a sponsor, repatriated to their home country, or obtain lawful immigration status. ORR funds residential care provider facilities that provide temporary housing and other services to children in ORR custody while also working to identify and evaluate potential sponsors to take custody of the children post-release. In order to adequately evaluate the suitability of a sponsor and the standard of care they are likely to provide in cases where a child is deemed to be particularly vulnerable due to their age, a medical diagnosis, disability status, trafficking victim status, or other safety concern, ORR will conduct a home-study with the sponsor. An ORR home study includes interviews with the potential sponsor and other household members, as well as an investigation of the living conditions in which the unaccompanied alien child would be placed and occurs prior to the child's physical release. Upon release to the sponsor, and subject to available appropriations, ORR offers post-release services to all cases that have undergone a home study. Post-release services connect sponsors and children with community-based supports to address needs related to education, employment, medical and mental health services, legal services, family stabilization, substance abuse, guardianship, and gang intervention. ORR uses several instruments to facilitate the home study and post-release services referral process, as well as to document the outcomes of these assessments as required by the Homeland Security Act (6 U.S.C. 279), the Trafficking Victims Protection Reauthorization Act of 2008 (8 U.S.C. 1232), Foundational Rule, 45 C.F.R. §§410.1204, .1210. Forms transferred from the Administration and Oversight (OMB# 0970-0547) collection were last approved May 18, 2022, and expire on May 31, 2025; forms transferred from Release (OMB# 0970-0552) collection were last approved, and expire April 30, 2027, and forms transferred from the Services (OMB# 0970-0553) collection were last approved by OMB on August 22, 2024 and expire on April 30, 2025. Once approved, the Assessments information collection will contain a total of six (6) unique forms with associated appendices and addendums. An overview of proposed revisions is provided in Section A.15 of Supporting Statement A.

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The ORR Unaccompanied Alien Children Bureau (UACB) provides care and custody for unaccompanied alien children until they can be safely released to a sponsor, repatriated to their home country, or obtain legal status. ORR funds residential care provider facilities that provide temporary housing and other services to children in ORR custody. Generally, care provider facilities are State- licensed (with the exception of those located in states unwilling to consider them for licensure and temporary influx care facilities) and must meet ORR requirements to ensure a high-level quality of care. Services provided at care provider facilities include, but are not limited to, education, recreation, vocational training, acculturation, nutrition, medical, mental health, legal, and case management. ORR uses several forms directly related to the care of unaccompanied alien children. The forms in this information collection allow ORR to ensure that serious issues are elevated to ORR and that all incidents, and responses to such incidents, are documented and resolved in a way that protects the interests of unaccompanied alien children. ORR is in the process of reorganizing its information collections to better manage its large portfolio of forms. As part of that reorganization effort, ORR is submitting this request to transfer six existing forms (with revisions) currently approved under OMB# 0970-0547 under a new OMB control number.

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This request is for an extension of an approved information collection: Voluntary Acknowledgement of Paternity and Required Data Elements for the Paternity Establishment Affidavit (OMB #0970-0171). The Administration for Children and Families (ACF) is proposing minor changes to the burden estimate as last updated in 2020. Section 466(a)(5)(C) of the Social Security Act requires States to enact laws ensuring a simple civil process for voluntarily acknowledging paternity via an affidavit. The State must provide that, before a mother and putative father can sign a voluntary acknowledgment of paternity, the mother and putative father must be given notice, orally and in writing of the alternatives to, the legal consequences of, and the rights (including any rights, if one parent is a minor, due to minority status) and responsibilities of acknowledging paternity. One affidavit needs to be filled out for each paternity established and the information cannot be provided any less frequently than once to each mother and putative father. The development and use of an affidavit for the voluntary acknowledgment of paternity would include the minimum requirements specified by the Secretary and to give full faith and credit to such an affidavit signed in any other State according to its procedures. The following ICR has been updated with non substantive changes in response to the Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government Executive Order (Defending Women EO) and recent Presidential Actions related to diversity, equity, and inclusion (DEI), such as those covered under the EO Initial Recissions of Harmful Executive Orders and Actions.

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Section 1123A [42 U.S.C. 1320a-1a] of the Social Security Act (the Act) and regulations at 45 CFR 1355.33(b), 45 CFR 1355.33(c) and 45 CFR 1355.35(a) govern the Child and Family Services Reviews (CFSR). The CFSR looks at both the outcomes related to safety, permanency and well-being of children served by the child welfare system and the assessment of seven systemic factors. The systemic factors refer to systems within a state that, if well-functioning, will support the outcomes. This regulated monitoring process allows ACF to determine whether states are complying with federal child welfare requirements; determine what is happening to children and families; and assist states to enhance their capacity to help children and families achieve positive outcomes. Ultimately, the goal of the CFSR is to help states improve child welfare services by identifying their strengths and areas needing improvement. Three activities are associated with the CFSR collection: a statewide assessment, which is the state’s evaluation of its performance on CFSR outcomes and systemic factors and is used to guide the focus of the onsite review; an on-site review, which involves case record reviews and a joint federal-state team interviewing stakeholders in the state to inform the Children’s Bureau’s (CB) determination of the state’s functioning on the seven systemic factors; and a program improvement plan, which addresses areas in which states are found to be out of conformity with any one of the seven outcomes or seven systemic factors under review. The following ICR has been updated with non substantive changes in response to the Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government Executive Order (Defending Women EO) and recent Presidential Actions related to diversity, equity, and inclusion (DEI), such as those covered under the EO Initial Recissions of Harmful Executive Orders and Actions.

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The primary purpose of the END STAGE RENAL DISEASE MEDICAL EVIDENCE REPORT MEDICARE ENTITLEMENT AND/OR PATIENT REGISTRATION is to determine if an individual is entitled to Medicare under the End Stage Renal Disease provisions of the law. This form SHOULD NOT be completed for those patients who are in acute renal failure. Completion of the form is voluntary, but failure to do so may result in denial of Medicare benefits.

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Pursuant to section 1886(s)(4)(C) of the Social Security Act as added and amended by sections 3401 and 10322 of the Patient Protection and Affordable Care Act (ACA) and further amended by section 4125(c) of the Consolidated Appropriations Act, 2023, starting in FY 2014 (that is, October 1, 2013 through September 30, 2014) and for subsequent fiscal years, IPFs paid under the IPF PPS shall submit pre-defined quality measures to the CMS. Such data shall be submitted in a form and manner, and at a time specified by the Secretary. Section 1886(s)(4)(A) of the Act provides that IPFs that fail to submit data on the selected quality measures and comply with other administrative requirements will have their IPF prospective payment system (PPS) payment updates reduced by 2.0 percentage points. This is a revision of the currently approved information collection request. The Centers for Medicare & Medicaid Services’ (CMS’) quality reporting programs promote higher quality, more efficient healthcare for Medicare beneficiaries by collecting and reporting on quality-of-care metrics. This information is made available to consumers, both to empower Medicare beneficiaries and inform decision-making, as well as to incentivize healthcare facilities to make continued improvements. Specifically, CMS has implemented quality measure reporting programs for multiple settings, including for the Inpatient Psychiatric Facility (IPF) setting, to achieve its overarching priorities and initiatives, including the National Quality Strategy and the Meaningful Measure 2.0 Framework. In particular, Meaningful Measures 2.0 promotes innovation and modernization of all aspects of quality to better address health care priorities and gaps, emphasize digital quality measurement, and promote patient perspectives by supporting five interrelated goals: (1) empower consumers to make good health care choices through patient-directed quality measures and public transparency, (2) leverage quality measures to promote health equity and close gaps in care, (3) streamline quality measurement, (4) leverage measures to drive outcome improvement through public reporting and payment programs, and (5) improve quality measure efficiency by transitioning to digital measures and using advanced data analytics. The information collection requirements for the FY 2014 through FY 2028 program years (that is, data submitted from CY 2013 through CY 2027) are currently approved under OMB control number 0938-1171 (expiration date January 31, 2027). This request covers updates to the data collection requirements beginning with the FY 2026 payment determination (that is data submitted in CY 2025) and subsequent years.

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On March 11, 2021, the President signed the American Rescue Plan Act of 2021 (the “Act”), Pub. L. No. 117-2. Title III, Subtitle B, Section 3206 of the Act established the Homeowner Assistance Fund and provides $9.961 billion for the U.S. Department of the Treasury (Treasury) to make payments to States (defined to include the District of Columbia, Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, and American Samoa), Indian tribes or tribally designated housing entities, as applicable, and the Department of Hawaiian Home Lands (collectively the “eligible entities”) to mitigate financial hardships associated with the coronavirus pandemic, including for the purposes of preventing homeowner mortgage delinquencies, defaults, foreclosures, loss of utilities or home energy services, and displacements of homeowners experiencing financial hardship after January 21, 2020, through qualified expenses related to mortgages and housing. Section 3206(c)(1) requires the eligible entities to use the funds for the purpose of preventing homeowner mortgage delinquencies, defaults, foreclosures, loss of utilities or home energy services, and displacements of homeowners experiencing financial hardship after January 21, 2020, through qualified expenses related to mortgages and housing. Section 3206(e)(1) provides that not later than 45 days after March 11, 2021, the Secretary shall pay each eligible entity. To date, eligible entities have generally received 10% of their allocations.

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On March 11, 2021, the President signed the American Rescue Plan Act of 2021 (the “Act”), Pub. L. No. 117-2. Title III, Subtitle B, Section 3201of the Act provides $21.55 billion for the U.S. Department of the Treasury (Treasury) to make payments to States (defined to include the District of Columbia), U.S. Territories (Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, and American Samoa), and certain local governments with more than 200,000 residents (collectively the “eligible grantees”) to provide financial assistance and housing stability services to eligible households, and cover the costs for other affordable rental housing and eviction prevention activities for eligible households.

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Section 313 of the Joseph Maxwell Cleland and Robert Joseph Dole Memorial Veterans Benefits and Health Care Improvement (Cleland-Dole) Act of 2022 (P.L. 117-328) requires the VA to conduct a study on financial and credit counseling by querying financial and credit counselors, homeless programs providers, and subject matters experts regarding the use of financial and credit counseling services. The intent of this survey is to identify financial and credit counseling needs of Veterans experiencing homelessness or at risk of experiencing homelessness, the financial and credit counseling services offered to these Veterans, the specific barriers that these Veterans have in accessing these financial and credit counseling services, and the effects of financial and credit counseling services on such outcomes as employment, housing status, income, and credit score. The information collected will be used to inform VA policy makers, program managers, and process improvement investigators about how to enhance financial and credit counseling services that are offered to Veterans experiencing homelessness or at risk of experiencing homelessness. The results of this survey, which will not include personally identifiable information about the individual respondents, will be shared with Congress via a congressionally mandated report. The Veteran Financial and Credit Counseling Services (VFCCS) Survey (VA Form 10-377) has been updated pursuant to Executive Order 14168: Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. There are no longer gender options, and the “Gender” field in Question 13 has been changed to “Sex” with only “Female or Male” as choices.

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The information VA is proposing to collect does not currently exist. It will be used in order to accomplish three aims: 1) collect baseline data on the knowledge and attitudes of adult US citizens living in specified communities about Veterans, Veteran suicide, and resources available to Veterans to reduce suicide, prior to the implementation of suicide prevention programs; 2) collect follow-up data in the same communities to assess whether those knowledge and attitudes have changed over time; and 3) determine whether the programs and policies implemented by a community resulted in positive change in knowledge and attitudes. The data will be utilized by the Office of Mental Health and Suicide Prevention in VA Central Office to measure the return on investment of significant resources that have been invested to support communities in their (that is, the communities’) efforts to reduce Veteran suicide. Specifically, the Community-Based Interventions (CBI) arm of VA’s “Suicide Prevention 2.0” initiative has launched two different initiatives whose goals are to increase the successful implementation of best practices to prevent Veteran suicide in local communities. The data will allow VA to measure a baseline level of expected outcomes, follow-up levels, and to explore the role of new programs in those changes. The data will be used to perform program planning and evaluation. The data will also be used by the State teams that are engaged in the Governor’s Challenge initiative. GC is one of the initiatives supported by SP2.0 and is structured so that State teams are provided training and technical assistance by VA to expand their efforts to implement suicide prevention programs in their State. This data collection will assist the State teams to assess the effects of their new programming or policies. The Suicide Prevention 2.0 Program - Community Opinion Survey has been updated pursuant to Executive Order 14168: Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. The gender question has been changed to “sex” and gender options have been deleted from the Survey.

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The Department of Veterans Affairs (VA) launched Project CHALENG (Community Homelessness Assessment, Local Education and Networking Groups) for Veterans in 1993 in response to Public Law 102-405, which required VA to make an assessment of the needs of homeless Veterans in coordination with other Federal departments, state and local government agencies, and nongovernmental agencies with experience working with homeless persons. Since 1993, VA has administered a needs assessment in accordance with guidance in Public Law 103-446 and Public Law 105-114. This collection of information is necessary to ensure that VA and community partners are developing services that are responsive to the needs of local homeless Veterans, in order to end homelessness and prevent new Veterans from experiencing homelessness. Over the years data from CHALENG has assisted VA in developing new services for Veterans such as the Homeless Veteran Dental Program (HVDP), the expansion of the Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) Program, the Veterans Justice Programs and Supportive Services for Veteran Families (SSVF). In addition community organizations use CHALENG data in grant applications to support services for homeless Veterans; grant applications are for VA, other Federal, local government, and community foundation dollars, which maximizes community participation in serving homeless Veterans. This collection will be a renewal of the collection approved in 2021. No revisions have been made to the questions; however, revisions to the burden hours are based upon the number of respondents in the previous year. The collection consists of two survey forms: one for Veterans (VA Form 10-10161) and one for VA staff members, community homeless providers, and interested community members (VA Form 10-10162). The only difference between the two survey forms are the introductory demographic questions; otherwise the survey is the same for both groups. The CHALENG Survey for Veterans (VA Form 10-10161) has been updated pursuant to Executive Order 14168: Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. There are no longer gender options, and the “Gender” field in Question 3 has been changed to “Sex” with only “Female or Male” as choices.

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This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from customers and stakeholders will be used to evaluate and improve Agency programs. This collection will enable NASA to expand opportunities to engage members of the public and stakeholders through small discussion groups and focus groups.

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This request is for a revision and extension of a currently approved generic information collection. The question bank has been revised to ensure compliance and alignment with current Administration priorities and Executive Orders. This collection follows the guidelines contained in the OMB Resource Manual for Customer Surveys. In accordance with Executive Order 12862, the National Performance Review, and good management practices, National Oceanic and Atmospheric Administration (NOAA) offices seek approval to continue to gather customer feedback on services and/or products which can be used in planning for service/product modification and prioritization. Under this generic clearance, individual offices would use approved questionnaires and develop new questionnaires, as needed, by selecting subsets of the approved set of collection questions and tailoring those specific questions to be meaningful for their particular programs. These proposed questionnaires would then be submitted to OMB using a fast-track request for approval process, for which separate Federal Register notices are not required. This generic clearance will not be used to survey any bodies NOAA regulates unless precautions are taken to ensure that the respondents believe that they are not under any risk for not responding or for the contents of their responses, e.g., in no survey to such a population will the names and addresses of respondents be required. Two sets of survey questions are used for generation of program-level questionnaires. Quantitative questions seek to obtain numerical ratings from respondents on their satisfaction with various aspects of the product or service they obtained – satisfaction with the quality of the product, the courtesy of the staff, the format of and documentation for data received, and similar standard types of questions. The offices using such questions are able to determine which aspects of their program need improvement or have improved. Qualitative questions are more focused on who is using the product and service, how it is being used, and the medium or format in which the respondent would like to see data provided.