After elected signatories process the agreement between sister cities, it is submitted to the main branch of SCI and kept on file at the Washington, DC, office.

[11] Following the decrease in the United States diplomatic standings due to its' involvement in Vietnam and ending of the post-war boom, sister-city relations struggled to uphold their activity.

Due to this struggle, the National League of Cities and the Civic Committee of the People-to-People program discussed ways to help maintain and grow the sister-city activities.

[13] The first official U.S. sister city program began in 1956,[14] when President Dwight D. Eisenhower proposed a people-to-people citizenship diplomacy.

[15] President Dwight D. Eisenhower hoped that the possibilities of future world conflicts would decrease through the implementation of sister cities.

[17] Zelenskyy asked that cities in the United States take part in rebuilding Ukraine by developing ties between localities that can leverage resources allocated to the effort to repair damaged social infrastructure.

Former Irondequoit Supervisor Lapple formed a committee to locate a city willing to partner in the interest of honoring the Ukrainian community active in his town.

The relationship is ongoing with a virtual conference occurring on July 14, 2022, featuring elected officials, organization leaders, and various citizens, all given a venue to speak as the Ukrainians fight in the Russo-Ukrainian War.