Information Collection

Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB) 25 CFR 70

IC 43773 under ICR 200801-1076-001 · OMB 1076-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0153 can be found here:

Documents and Forms

Document Name Document Type
Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB) 25 CFR 70 Form and Instruction
Request for Certificate of Degree of Indian or Alaska Na CDIBapplication2005.doc Form and Instruction
E7-21317CDIB.10-30-07.pdf 60 day FR notice IC Document
CDIB30dayFR1-3-2008..rtf 30 day FR notice for CDIB IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Certificate of Degree of Indian or Alaska Native Blood (CDIB) 25 CFR 70	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 25 CFR 70

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Request for Certificate of Degree of Indian or Alaska Native Blood	CDIBapplication2005.doc		No		Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 154,980	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	154,980	0	154,980
Annual IC Time Burden (Hours)	232,470	0	232,470
Annual IC Cost Burden (Dollars)	6,199,200	-800	6,200,000

Documents for IC

Title	Document	Date Uploaded
60 day FR notice	E7-21317CDIB.10-30-07.pdf	01/02/2008
30 day FR notice for CDIB	CDIB30dayFR1-3-2008..rtf	01/02/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.