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 201507-1076-002 · OMB 1076-0114 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Application for admission to SIPI Form and Instruction Modified Available
Application for Admission to Haskell Indian Nations University Form and Instruction Modified Repair queued
8-25-15.Renewal Agency IC_SIPI and Haskell Applications (30-day).pdf Supplementary Document Uploaded 2015-08-25 Available
Supporting Statement 1076-0114 (App for Haskell and SIPI) 8-19-15.docx Supporting Statement A Uploaded 2015-08-19 Available
4-23-15.Renewal Agency IC_Application to Haskell and SIPI (60-day).pdf Supplementary Document Uploaded 2015-07-22 Available
BIA-22 Privacy Act System of Record - Indian Student Records.pdf Supplementary Document Uploaded 2012-03-12 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 Repair queued
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 201507-1076-002
Historical Active 201202-1076-003
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 11/02/2015
Retrieve Notice of Action (NOA) 08/25/2015
  Inventory as of this Action Requested Previously Approved
11/30/2018 36 Months From Approved 10/31/2015
4,000 0 4,000
2,000 0 2,000
12,360 0 12,240
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
  80 FR 22739 04/23/2015
80 FR 51594 08/25/2015
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) 12,360 12,240 0 0 120 0
No
No
$109,590
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.
08/25/2015