Information Collection

Indian Child Welfare Assistance Quarterly and Annual Report

IC 11499 under ICR 201104-1076-002 · OMB 1076-0131.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0131 can be found here:

Documents and Forms

Document Name Document Type
Indian Child Welfare Assistance Quarterly and Annual Report Form
ICWA Quarterly and Annual Report Form.080211.docx www.bia.gov/WhoWeAre/BIA/OIS/HumanServices/index.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Indian Child Welfare Assistance Quarterly and Annual Report	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 23.47

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	ICWA Quarterly and Annual Report	Form.080211.docx	http://www.bia.gov/WhoWeAre/BIA/OIS/HumanServices/index.htm	Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 536	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,144	2,144
Annual IC Time Burden (Hours)	1,072	1,072
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.