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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Reference Number
Title
Agency
Received
Concluded
Action
Status
Request Type
Presidential Action
OMB Control Number
202504-2120-020 Alternative Pilot Physical Examination and Education Requirements (BasicMed) DOT/FAA 2025-04-16 2025-09-05 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Alternative Pilot Physical Examination and Education Requirements (BasicMed)

Key Information

Previous ICR

202302-2120-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

49 USC 44701
49 USC 44702
49 USC 44703
49 USC 44709
49 USC 40113

Abstract

Section 2307 of Public Law 114-190, medical certification of small aircraft pilots, provides that, within 180 days of enactment of Public Law 114-190, the FAA Extension, Safety and Security Act of 2016, the Administrator of the FAA shall issue or revise regulations to ensure that an individual may operate as pilot in command of a covered aircraft if certain provisions stipulated in the Act are met. The Act was enacted July 15, 2016. The use of section 2307 by any eligible pilot is voluntary. Persons may elect to use these alternative pilot physical examination and education requirements or may elect to continue to operate using a third-class or higher medical certificate (information collection 2120-0034).The requirements of section 2307 were codified in 14 CFR parts 61, 91 and newly created part 68

2120-0770
202504-3046-001 Employer Information Report (EEO-1) EEOC 2025-04-15 2025-05-12 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Employer Information Report (EEO-1)

Key Information

Previous ICR

202311-3046-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 2000e-8(c)

Abstract

Section 709(c) of Title VII of the Civil Rights Act of 1964 (Title VII) requires employers to make and keep records relevant to the determination of whether unlawful employment practices have been or are being committed, to preserve such records, and to produce reports as the Commission prescribes by regulation or order. Pursuant to this statutory authority, the EEOC in 1966 issued a regulation requiring certain employers to file executed copies of the EEO–1 in conformity with the directions and instructions on the form, which called for reporting employee data by job category and by sex and race or ethnicity. Pursuant to Executive Order 11246, the Office of Federal Contract Compliance Programs (OFCCP), U.S. Department of Labor, in 1978 issued its regulation describing the EEO–1 as a report ‘‘promulgated jointly with the Equal Employment Opportunity Commission’’ and requiring certain contractors to submit ‘‘complete and accurate reports’’ annually. Under these authorities, private employers with 100 or more employees and federal contractors that have 50 or more employees and meet certain criteria are required to report annually the number of individuals they employ by job category and by sex and race or ethnicity.

3046-0049
202504-2130-002 Federal Railroad Administration Alleged Violation and Inquiry Form DOT/FRA 2025-04-14 2025-04-30 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Federal Railroad Administration Alleged Violation and Inquiry Form

Key Information

Previous ICR

202405-2130-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 110 - 432 307(b)

Abstract

The FRA Alleged Violation and Inquiry Form is a response to section 307(b) of the Rail Safety Improvement Act of 2008, which requires FRA to “provide a mechanism for the public to submit written reports of potential violations of Federal railroad safety and hazardous materials transportation laws, regulations, and orders to the Federal Railroad Administration.” The FRA Alleged Violation and Inquiry Form allows the public to submit alleged violations, complaints, or inquiries directly to FRA. The form allows FRA to collect information necessary to investigate the alleged violation, complaint, or inquiry, and to follow up with the submitting party. This information collection is voluntary, submitted as needed, and there is no requirement for recordkeeping. Note: FRA has revised the title of OMB Control Number 2130–0590 (formerly titled ‘‘Alleged Violation Reporting Form’’).

2130-0590
202504-1225-002 Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL) DOL/DM 2025-04-11 2025-04-17 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)

Key Information

Previous ICR

202503-1225-001

Federal Register Notices

60-Day FRN
30-Day FRN

Abstract

This information collection activity provides a means to garner customer and stakeholder feedback in an efficient, timely manner in accordance with the Administration's commitment to improving customer service delivery as discussed in Section 280 of OMB Circular A-11. As discussed in OMB guidance, agencies should identify their highest-impact customer journeys (using customer volume, annual program cost, and/or knowledge of customer priority as weighting factors) and select touchpoints/transactions within those journeys to collect feedback.

unspecified 1225-0093
202504-1225-001 Nondiscrimination Compliance Information Reporting DOL/DM 2025-04-10 2025-04-11 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Nondiscrimination Compliance Information Reporting

Key Information

Previous ICR

202402-1225-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 113 - 128 188

Abstract

Information provides data that assists in ensuring Federal financial assistance recipients do not discriminate in the administration, management, and operation of programs and activities.

1225-0077
202504-3150-002 Equal Employment Opportunity (EEO) Complaint System NRC 2025-04-10 2025-04-10 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Equal Employment Opportunity (EEO) Complaint System

Key Information

Previous ICR

202212-3150-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 83 - 703 1 stat. 311

Abstract

As set forth under 29 CFR 1614, the Equal Employment Opportunity (EEO) complaint process prescribes that when an aggrieved individual believes that they have been discriminated against on the basis of their race, color, religion, sex (including sexual orientation, gender identity and expressions, and pregnancy), national origin, age, disability, genetic information (including family medical history), marital status, parental status, political affiliation, military service, and reprisal, the aggrieved individual must consult a Counselor prior to filing a complaint in order to try to informally resolve the matter. NRC employees (current and former) and job applicants can use the NRC’s EEO eFile portal to initiate a request for EEO counseling , submit information about their informal EEO complaint , and view the status of their EEO case(s).

3150-0259
202503-1205-006 Student Safety Assessment of Job Corps Centers DOL/ETA 2025-04-09 2025-12-23 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Student Safety Assessment of Job Corps Centers

Key Information

Previous ICR

202305-1205-004

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

5 USC 552
5 USC 552(a)

Abstract

The Department of Labor’s Office of Job Corps conducts a Student Safety Assessment. Thes collection of information through this assessment is necessary for program evaluation to gauge active students’ sense of safety and security at centers.

1205-0542
202503-1205-007 Job Corps Application Data DOL/ETA 2025-04-09 2025-12-23 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Job Corps Application Data

Key Information

Previous ICR

202212-1205-008

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

29 USC 3194-3195

Abstract

ETA 652, Job Corps Applicant Data Sheet, is critical to the screening process. This form is completed by the admissions representative in collaboration with each applicant to determine the applicant’s eligibility for the Job Corps program in accordance with WIOA and Job Corps policy and to collect socio-demographic and employment barriers information for program planning, evaluation, and data reporting purposes. This ICR also contains verbal questions on dependents and childcare.

1205-0025
202504-0938-006 Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A) HHS/CMS 2025-04-09 2025-04-17 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A)

Key Information

Previous ICR

202407-0938-007

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 111 - 148 3021
Pub.L. 108 - 173 723

Abstract

The Medicare Current Beneficiary Survey (MCBS) is a continuous, multipurpose survey of a nationally representative sample of aged, disabled, and institutionalized Medicare beneficiaries. MCBS, which is sponsored by the Centers for Medicare & Medicaid Services (CMS), is the only comprehensive source of information on the health status, health care use and expenditures, health insurance coverage, and socioeconomic and demographic characteristics of the entire spectrum of Medicare beneficiaries. The purpose of this revision is to seek approval for CMS to add new items related to beneficiary-centric provisions of the Inflation Reduction Act (IRA) of 2022 to the MCBS Community Questionnaire beginning in 2025 . The new items cover improved measures, streamlined content, and the addition of important IRA-related topics as requested by OMB in their terms of clearance specified in the approval of the 2024 MCBS.

0938-0568
202503-1205-004 Job Corps Health Questionnaire DOL/ETA 2025-04-09 2025-12-23 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Job Corps Health Questionnaire

Key Information

Previous ICR

202305-1205-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

29 USC 3194-3195

Abstract

Information on the health status of an applicant to Job Corps is obtained when the applicant completes ETA 653 during an interview with the admissions counselor as part of the admissions process.

1205-0033
202503-1205-003 Student Experience Assessment of Job Corps Centers DOL/ETA 2025-04-09 None None Received in OIRA
Revision of a currently approved collection
Student Experience Assessment of Job Corps Centers

Key Information

Previous ICR

202305-1205-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

29 USC 3198(a)(1)(2)
29 USC 3209(b)(2)
29 USC 3209(f)(1)

Abstract

The Department of Labor’s Office of Job Corps administers the Student Experience Assessment Survey. The collection of information through this assessment is necessary for program evaluation to gauge active students’ satisfaction with the program.

1205-0543
202503-1205-002 Job Corps Placement Record DOL/ETA 2025-04-09 2025-12-23 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Job Corps Placement Record

Key Information

Previous ICR

202304-1205-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

29 USC 3199(B)
29 USC 3191(1)(A)

Abstract

Form ETA-678 is used to obtain information about student training for placement of students in jobs, further education or military service. It is used to evaluate overall program effectiveness and is the only form which documents a student's post-center status. The form is prepared by Job Corps centers and placement specialists for each student separating from Job Corps centers.

1205-0035
202503-1205-008 Post Enrollment Data Collection for Job Corps Participants DOL/ETA 2025-04-09 2025-12-23 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Post Enrollment Data Collection for Job Corps Participants

Key Information

Previous ICR

202210-1205-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 113 - 128 116(b)(2)(A)(ii)
Pub.L. 113 - 128 159(c) and (d)

Abstract

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

1205-0426
202503-2502-006 Congregate Housing Services Program HUD/OH 2025-04-08 2025-04-15 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Congregate Housing Services Program

Key Information

Previous ICR

202211-2502-002

Federal Register Notices

60-Day FRN
30-Day FRN

Abstract

This information is necessary to monitor the use of grant funds for the Congregate Housing Services Program (CHSP) according to statutory, regulatory, and administrative requirements.

2502-0485
202503-1830-001 Measures and Methods for the National Reporting System for Adult Education ED/OCTAE 2025-04-07 2025-04-17 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Measures and Methods for the National Reporting System for Adult Education

Key Information

Previous ICR

202410-1830-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

29 USC 3292

Abstract

The respondents are the 57 states/outlying areas that receive adult education state grant funds under the Adult Education and Family Literacy Act (AEFLA). The information collected is the states' annual performance report. OCTAE uses the data to ensure that states meet the performance accountability requirements of AEFLA. In this non request, OCTAE has identified non-substantive, conforming edits in the current ICR under OMB Control No. 1830-0027 to bring it into alignment with the recent Executive Order 14168, Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government. .

1830-0027
202504-0938-005 Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program (CMS-10831) HHS/CMS 2025-04-07 2025-04-09 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries through the Limited Income Newly Eligible Transition (LI NET) Program (CMS-10831)

Key Information

Previous ICR

202408-0938-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 116 - 260 118

Abstract

Section 118 of the Consolidated Appropriations Act, 2021 (CAA) (Public Law 116-260) enacted on December 27, 2020, amended Section 1860D-14 of the Social Security Act (the Act) (42 U.S.C. 1395w-114) and authorized CMS to make transitional coverage and retroactive Medicare Part D coverage for certain low-income beneficiaries, called the Limited Income Newly Eligible Transition (LI NET) program a permanent part of the Part D program. The LI NET program under this statute must begin no later than January 1, 2024.

0938-1441
202504-0938-004 Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form (CMS-10718) HHS/CMS 2025-04-07 2025-04-09 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form (CMS-10718)

Key Information

Previous ICR

202408-0938-020

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 108 - 173 101
42 USC 1395w–21
Pub.L. 105 - 33 4001
42 USC 1395w-101

Abstract

As established by Section 1851 of the Act, and implementing regulations at §§ 422.50 and 422.60, an MA-eligible individual who meets the eligibility requirements for enrollment into an MA plan may enroll during the enrollment periods specified in §422.62, by completing an enrollment form with the MA organization or enrolling through other mechanisms that the Centers for Medicare & Medicaid Services (CMS) determines are appropriate. In addition, the authority for requiring this data collection for PDP enrollment is section 1860D-1 of the Act, and implementing regulations at §§ 423.30 and 423.32, a Part D-eligible individual who wishes to enroll in a Medicare Prescription Drug Plan (PDP) may enroll during the enrollment periods specified in §423.38, by completing an enrollment form with the PDP, or enrolling through other mechanisms CMS determines are appropriate. We are proposing changes to the current, standard (“long”) model enrollment form which will yield a beneficiary-focused model form to simplify the enrollment process.

0938-1378
202504-3206-002 Personnel Vetting Questionnaire OPM 2025-04-04 2025-05-01 Approved with change Active
Revision of a currently approved collection
Personnel Vetting Questionnaire

Key Information

Previous ICR

202302-3206-005

Abstract

OPM has consolidated several collections of information used to determine suitability for Federal employment, fitness to perform work for or on behalf of the Federal government, eligibility to occupy a national security sensitive position, eligibility for access to classified information, and/or eligibility for a Federal credential for access to Federal facilities or space and Federal logical systems. With this new common form, respondents will only fill out questions associated with their position risk and sensitivity. The common form replaces the forms known as the Standard Form 86, Questionnaire for National Security Positions [OMB Control Number3206-0005], the Standard Form 85P, Questionnaire for Public Trust Positions and the Standard Form 85P-S, Supplemental Questionnaire for Selected Positions [OMB Control Number 3206-0258], and the Standard Form 85, Questionnaire for Non-Sensitive Positions [OMB Control Number 3206-0261].Emergency Justfication:ROCIS workaround for nonsubstantive change in response to EO 14168

3206-0279
202502-0703-004 Understanding Resource Utilization to Support Male Sailor Operational Readiness (MOSAIC) DOD/NAVY 2025-04-04 2025-05-19 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Understanding Resource Utilization to Support Male Sailor Operational Readiness (MOSAIC)

Key Information

Previous ICR

202408-0703-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 114 - 92 538

Abstract

As part of the DoD-wide effort to promote resource utilization for those who experienced Unwanted Sexual Contact (USC; i.e., sexual assault and sexual harassment), the Department of Navy (DoN) Office of Force Resiliency (OFR) developed and recently updated the Prevention Plan of Action (aka Prevention Plan of Action 2.0, 2022-2024; PPoA 2.0). The PPoA 2.0 is a strategy framework leveraging public health science in military environments to prevent sexual assault in the military and improve response efforts. As part of this initiative, OFR commissioned this study (Agreement #NMR-24-11717) to investigate the factors influencing reporting and resource utilization among men who experienced USC during military service. This DoN OFR-commissioned investigation involves three study phases, and findings from each phase will be pieced together to provide a comprehensive understanding of resource utilization decision-making processes among men affected by USC and will inform the development of programmatic recommendations to improve resource utilization. Phase 1) A systematic literature review (no human subjects involvement), Phase 2) An archival data analysis of deidentified data with no human subjects involvement, and Phase 3) A narrative/semi-structured interview study of male Sailors who report experiencing USC and/or sexual harassment during military service to build upon limited research among men. Finally, findings will be used to develop recommendations to modify extant policy and practices around sexual assault reporting and service utilization by male Sailors (no human subjects involvement). This information collection request describes our data collection efforts for Phase 3, a primary interview data collection with men who have experienced USC and/or sexual harassment during military service.

0703-0099
202504-3150-001 10 CFR 4, Nondiscrimination in Federally Assisted Commission Programs NRC 2025-04-04 2025-04-10 Approved without change Active
No material or nonsubstantive change to a currently approved collection
10 CFR 4, Nondiscrimination in Federally Assisted Commission Programs

Key Information

Previous ICR

202402-3150-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 83 - 703 1-311

Abstract

All recipients of Federal financial assistance from the NRC are subject to the provisions of 10 CFR Part 4, “Nondiscrimination in Federally Assisted Programs or Activities Receiving Assistance from the Commission.” Respondents must notify participants, beneficiaries, applicants, and employees of nondiscrimination practices and keep records of Federal financial assistance and of their own self-evaluations of policies and practices. NRC Form 781, “SBCR Compliance Review” is a required form that should be submitted by the recipient upon initiation or modification of a program, during the pre-award and post-award stage, periodic monitoring, and, if a complaint is being processed during the pre-award application phase and upon request from an authorized NRC official during the post-award review phase. This information is necessary for determining whether any persons are or will be denied such services provided by the primary funding recipient on the basis of prohibited discrimination. In the event that discrimination is alleged in NRC- conducted and Federal financially assisted programs and activities, it may be reported using NRC Form 782.

3150-0053
202503-2529-002 Affirmative Fair Housing Marketing Plan HUD/FHEO 2025-04-03 2025-05-13 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Affirmative Fair Housing Marketing Plan

Key Information

Previous ICR

202411-2529-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 3601
42 USC 1982

Abstract

Applicants for participation in Federal Housing Administration (FHA) programs for the development of Multifamily, Single-Family, or Condominium/Cooperative Housing use these forms to describe the marketing and outreach activities that they will use to attract prospective buyers and renters that are least likely to apply. Owners/managers of FHA-insured Multifamily Housing projects must review these plans every five years (or sooner if there have been significant changes in their housing market area) and update these plans, if needed.

2529-0013
202503-0702-001 Experiences of Junior Soldiers in Alaska DOD/DOA 2025-04-03 2025-05-01 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Experiences of Junior Soldiers in Alaska

Key Information

Previous ICR

202405-0702-001

Federal Register Notices

60-Day FRN
30-Day FRN

Abstract

The Vice Chief of Staff of the Army (VCSA) identified a list of taskers for the Arctic. Based on the tasker the Army Research Institute (ARI) is completing a longitudinal examination of performance, attitudes and behaviors of Option 20 Soldiers. Option 20 Soldiers are Soldiers who select to come to Alaska as their first duty station at time of enlistment. Non-Option 20 Soldiers are those who are assigned to Alaska but did not choose it as their first duty station.

0702-0155
202503-2127-009 Crash Report Sampling System (CRSS) DOT/NHTSA 2025-04-02 2025-04-08 Approved without change Active
No material or nonsubstantive change to a currently approved collection
Crash Report Sampling System (CRSS)

Key Information

Previous ICR

202212-2127-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 89 - 563 106, 108, 112

Abstract

The National Highway Traffic Safety Administration (NHTSA) is seeking approval from OMB of this information collection request (ICR) for an extension with modification of its currently approved information collection for the Crash Report Sampling System (CRSS) information collection and related special studies. NHTSA is seeking approval to modify the collection to include the collection of the portion of NHTSA’s Non-Traffic Surveillance (NTS) data that is submitted through the CRSS data collection effort and add two special studies. NHTSA is authorized by 49 U.S.C. 30182 and 23 U.S.C. 403 to collect data on motor vehicle traffic crashes to aid in the identification of issues and the development, implementation, and evaluation of motor vehicle and highway safety countermeasures to support efforts to reduce injuries and fatalities caused by motor vehicle crashes. CRSS is a voluntary collection of data from police-reported crashes involving all types of motor vehicles, pedestrians, and cyclists; this includes property damage only crashes as well as those resulting in injuries and fatalities. The Non-Traffic Surveillance (NTS) is a virtual data collection effort for collecting information about non-traffic crashes and non-crash incidents. The NTS data provide counts and details regarding fatalities and injuries that occur in non-traffic crashes and in non-crash incidents. Additionally, two special studies are included: the non-Sample count study and the PJ frame evaluation which will assess the quality of the CRSS sampling frame and assist with determining the weights and measure of size for the CRSS Police Jurisdictions (PJs). This is a modification to the previously approved as OMB Control No. 2127-0714 (current expiration Date: 12/31/2022). This ICR increases burden by 7,000 hours (from 35,680 hours to 42,680 hours). The cost burden remains the same at $0.

2127-0714
202503-0607-004 National Survey of Children's Health 2025 DOC/CENSUS 2025-04-02 2025-05-05 Approved without change Active
Revision of a currently approved collection
National Survey of Children's Health 2025

Key Information

SPD-15 Implementation

Yes
Previous ICR

202403-0607-004

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC Section 241
13 USC Section 8(b)
42 USC Section 701(a)(2)
42 USC 1769d(a)(4)(B)

Abstract

Sponsored primarily by the U.S. Department of Health and Human Services’ (HHS) Health Resources and Services Administration’s Maternal and Child Health Bureau (HRSA MCHB), the National Survey of Children’s Health (NSCH) is designed to produce data on the physical, emotional, and behavioral health of children under 18 years of age in the United States. The NSCH collects information on factors related to the well-being of children, including access to and quality of health care, family interactions, parental health, school and after-school experiences, and neighborhood characteristics. The goal of the 2022 NSCH is to provide HRSA MCHB, their supplemental sponsoring agencies, states, and other data users with the necessary data to support the production of national estimates yearly and state-based estimates with pooled samples on the health and well-being of children, their families, and their communities as well as estimates of the prevalence and impact of children with special health care needs.

0607-0990
202504-3206-001 SF 2809 Federal Employees Health Benefits Program Election Form; OPM 2809 Health Benefits Election Form OPM 2025-04-02 2025-04-03 Approved without change Active
No material or nonsubstantive change to a currently approved collection
SF 2809 Federal Employees Health Benefits Program Election Form; OPM 2809 Health Benefits Election Form

Key Information

Previous ICR

202410-3206-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

5 USC 8905a
5 USC 89
Pub.L. 98 - 615 CSRS

Abstract

The SF 2809 is used to enroll, elect not to enroll, change, suspend or cancel your health insurance coverage in the Federal Employees Health Benefits (FEHB) Program which includes FEHB and Postal Service Health Benefits (PSHB) plans. A different form (OPM 2809) is used by annuitants retired under the Civil Service Retirement System (CSRS) or Federal Employees' Retirement System (FERS), electing or changing either there FEHB or Postal Service Health Benefit (PSHB) coverage under the FEHB Program as well as the following: children and former spouses who are eligible for temporary continuation of coverage; former spouses; survivor annuitants under CSRS or FERS; an OPM appointed representative payee or court appointed guardian of the eligible member.

3206-0160
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