OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute

ICR 201202-1076-003 · OMB 1076-0114 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Application for admission to SIPI Form and Instruction Modified Repair queued
Application for Admission to Haskell Indian Nations University Form and Instruction Modified Repair queued
3-30-12.Renewal of IC for BIE Collection Activities_30-day Notice.pdf Supplementary Document Uploaded 2012-03-30 Available
Supporting Statement 1076-0114 (App for Haskell and SIPI).docx Supporting Statement A Uploaded 2012-03-21 Repair queued
BIA-22 Privacy Act System of Record - Indian Student Records.pdf Supplementary Document Uploaded 2012-03-12 Available
12-15-11.IC Renewal BIE Collection Activities_60-day Request for Comments.pdf Supplementary Document Uploaded 2012-02-29 Available
Public Law 99_228.pdf Supplementary Document Uploaded 2008-12-03 Available
25 USCS 13.pdf Supplementary Document Uploaded 2008-10-22 Available
Public Law 95_561.pdf Supplementary Document Uploaded 2008-10-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
187215 Application for admission to SIPI Form and Instruction Modified
11490 Application for Admission to Haskell Indian Nations University Form and Instruction Modified
ICR Details
1076-0114 201202-1076-003
Historical Active 200810-1076-003
DOI/BIA
Application for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute
Extension without change of a currently approved collection   No
Regular
Approved without change 08/24/2012
Retrieve Notice of Action (NOA) 03/30/2012
  Inventory as of this Action Requested Previously Approved
08/31/2015 36 Months From Approved 08/31/2012
4,000 0 4,000
2,000 0 2,000
12,240 0 16,500
These forms are used to collect information to determine eligibility of respondent for admission to post secondary education administered by the Bureau of Indian Education.
PL: Pub.L. 95 - 561 1102 Name of Law: Education Amendments of 1978
   Statute at Large: 25 Stat. 13 Name of Statute: the Snyder Act
  
None
Not associated with rulemaking
  76 FR 78019 12/15/2011
77 FR 19313 03/30/2012
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,000 4,000 0 0 0 0
Annual Time Burden (Hours) 2,000 2,000 0 0 0 0
Annual Cost Burden (Dollars) 12,240 16,500 0 0 -4,260 0
No
No
$106,703
No
No
No
No
No
Uncollected
Amanda Begay 443 966-1599 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/30/2012