; or (ii) intermediate levels of forced organ harvesting or trafficking in persons for purposes of the removal of organs and the government of such country is making significant efforts to combat those practices. (C) Tier 3 countries The Assistant Secretary shall designate a country as tier 3 if— (i) the country has high levels of forced organ harvesting or trafficking in persons for purposes of the removal of organs; or (ii) the government of such country is directly or indirectly supporting forced organ harvesting or trafficking in persons for purposes of the removal of organs. (3) Form The report required by this subsection shall be submitted in unclassified form. (c) Interim reports In addition to the annual reports required by sections 116 and 502B of the Foreign Assistance Act of 1961 ( 22 U.S.C. 2151n , 2304), as amended by subsection (a), the Secretary of State may submit to the appropriate committees of Congress at any time one or more interim reports with respect to the status of forced organ harvesting and trafficking in persons for purposes of the removal of organs in foreign countries, including information about countries whose governments have begun or ceased to make significant efforts to combat those practices since the date on which the most recent annual report was submitted under such sections. (d) Consideration of significant efforts In determining whether the government of a country is making significant efforts to combat forced organ harvesting and trafficking in persons for purposes of the removal of organs under subsections (b) and (c), the Secretary of State shall consider— (1) the extent to which the country is a country of origin, transit, or destination for forced organ harvesting and trafficking in persons for purposes of the removal of organs