Tribal Self-Governance Program, 25 CFR 1000

OMB Control No: 1076-0143	ICR Reference No: 201903-1076-007
Status: Active	Previous ICR Reference No: 201601-1076-001
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Tribal Self-Governance Program, 25 CFR 1000
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/13/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/22/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2022	36 Months From Approved	09/30/2019
Responses	84	0	84
Time Burden (Hours)	4,443	0	4,443
Cost Burden (Dollars)	10,500	0	10,500

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Abstract: Tribes interested in entering into Self-Governance must submit certain information required by Pub. L. 103-413 to support their admission into Tribal Self-Governance. In addition, those Tribes and Tribal consortia that have entered into Self-Governance compacts may be requested to submit certain information to justify budget requests on their behalf and to comport with Section 405 of the Act that calls for the Secretary to submit an annual report to the Congress.

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Authorizing Statute(s): US Code: 25 USC 5361-5368 Name of Law: Tribal Self Governance Act of 1994

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 3812	02/13/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 16530	04/19/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 15

IC Title Form No. Form Name 1000.17 - Admission to applicant pool 1000.18 - Withdrawal from consortium to become member of applicant pool 1000.32 - Withdrawal from consortium FA 1000.47 - Request for a negotiation grant 1000.66 - Application for planning and negotiation grant 1000.248 - Notice of proposed changes 1000.50 - Tribal resolution, audits, and proposal for planning phase 1000.243 - Progress reports and financial status reports 1000.333 - Notice to retrocede 1000.181 - Request to negotiate successor FA 1000.382 - Annual self-governance report N/A Self-Governance Minimum Data Collection 1000.169, 1000.170 - Letter of interest and supporting documents for FA 1000.173 - Request to negotiate a FA 1000.222 - Request for waiver 1000.19, 20, 21 - Planning report

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ICR Summary of Burden

	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	84	84	0	0	0	0
Annual Time Burden (Hours)	4,443	4,443	0	0	0	0
Annual Cost Burden (Dollars)	10,500	10,500	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $40,937

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Ashley Fry 202 208-5808 [email protected]

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 04/22/2019

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