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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201711-1076-001 · OMB 1076-0114 · 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 Available
1-23-18.Agency Information Collection Activities; Submission to the OMB for Review and Approval; Application for Admission to Haskell Indian Nations University and to SIPI.pdf Supplementary Document Uploaded 2018-01-23 Available
2017 Supporting Statement 1076-0114 (App for Haskell and SIPI) HINU edits.docx Supporting Statement A Uploaded 2017-11-16 Repair queued
04-27-17.Early Rev of Agency IC_App for Admission to Haskell and Southwestern Indian Polytech_60 days.pdf Supplementary Document Uploaded 2017-11-02 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 Repair queued
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 201711-1076-001
Active 201507-1076-002
DOI/BIA
Application for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute
Revision of a currently approved collection   No
Regular
Approved without change 03/28/2018
Retrieve Notice of Action (NOA) 01/24/2018
The next time this comes for OMB review in accordance with 5 CFR 1320, OMB suggests that DOI look for ways to improve upon this collection of information for both Haskell University AND SIPI. In particular SIPI requires subannual collection of medical PII. OMB suggests that SIPI could improve their collection of information through this application form to reduce burden.
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved 11/30/2018
4,000 0 4,000
1,750 0 2,000
10,000 0 12,360
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.
Statute at Large: 48 Stat. 180 Name of Statute: Indian Appropriations of the 48th Congress
   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
   Statute at Large: 99 Stat. 1747 Name of Statute: Blood Quantum Act
  
None
Not associated with rulemaking
  82 FR 19382 04/27/2017
83 FR 3184 01/23/2018
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) 1,750 2,000 0 0 -250 0
Annual Cost Burden (Dollars) 10,000 12,360 0 -495 -1,865 0
No
No
The annual time burden for the Haskell application was reduced due to changes to the application making it more efficient. Additionally, the annual cost burden was reduced because the SIPI application does not have any costs associated with it submission.
$112,896
No
    Yes
    Yes
No
No
No
Uncollected
Ashley Fry 202 208-5808 [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.
01/24/2018