Information Collection

Compile documented petition and technical assistance response

IC 11474 under ICR 201001-1076-003 · OMB 1076-0104.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0104 can be found here:

Documents and Forms

Document Name Document Type
Form 8304 Compile documented petition and technical assistance response Form
8304 Individual History Chart INDIVIDUAL HISTORY CHART.doc Form
8305 Ancestory Chart ANCESTRY CHART.doc Form
8306 Membership Roll Form MEMBERSHIP ROLL.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Compile documented petition and technical assistance response	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 83.7(a)-(g)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	8304	Individual History Chart	INDIVIDUAL HISTORY CHART.doc	No	Paper Only
Form	8305	Ancestory Chart	ANCESTRY CHART.doc	No	Paper Only
Form	8306	Membership Roll Form	MEMBERSHIP ROLL.doc	No	Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: BIA-7, Tribal Rolls	FR Citation: 61 FR 36573

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	20,750	20,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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