OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

IHS Background Investigations of Individuals in Positions Involving Regular Contact with or Control Over Indian Children

ICR 201509-0917-001 · OMB 0917-0028 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 0917-0028 IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian Children Form and Instruction Modified Repair queued
FINAL OMB No. 0917-0028 Supporting Statement, 9-24-2015.doc Supporting Statement A Uploaded 2015-09-24 Available
OMB_supporting_statement_B_5-22-2012 DRA Final Draft.doc Supporting Statement B Uploaded 2012-06-11 Repair queued
Title_42_chap_132_13041._Requirement_for_background_checks[1].doc Supplementary Document Uploaded 2012-06-11 Available
USCODE-2011-title25-chap34-sec3207.pdf Supplementary Document Uploaded 2012-06-11 Available
OMB Form No. 3206-0182 0306[1].pdf Supplementary Document Uploaded 2012-06-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
6586 IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian Children Form and Instruction Modified
ICR Details
0917-0028 201509-0917-001
Historical Active 201209-0917-001
HHS/IHS 0917-0028
IHS Background Investigations of Individuals in Positions Involving Regular Contact with or Control Over Indian Children
Extension without change of a currently approved collection   No
Regular
Approved without change 11/06/2015
Retrieve Notice of Action (NOA) 09/25/2015
  Inventory as of this Action Requested Previously Approved
11/30/2018 36 Months From Approved 11/30/2015
3,000 0 3,000
600 0 600
0 0 0
To collect information needed to determine whether a prospective or current employee that has regular contact with or control over Indian children meets the minimum standards or character and to conduct background investigation.
US Code: 42 USC 13041 Name of Law: Public Health and Welfare Act, Requirement for Background Checks
   PL: Pub.L. 101 - 630 408 Name of Law: Indian Child Protection and Family Violence Prevention Act
   PL: Pub.L. 106 - 568 814 Name of Law: Technical Amendment to the Indian Child Protection and Family Violence Protection Act
   US Code: 25 USC 3201-3211 Name of Law: Indian Child Protection and Family Violence Prevention
  
None
Not associated with rulemaking
  80 FR 43100 07/21/2015
80 FR 53812 09/08/2015
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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 600 600 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,800
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Tamara Clay 301 443-4750 [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.
09/25/2015