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 202103-1076-004 · OMB 1076-0114 · Active

Forms and Documents
DocumentTypeStatusAvailability
Application for Admission Southwestern Indian Polytechnic Institute (SIPI) Form Modified Available
Application for admission to SIPI Form Modified Repair queued
Application for Admission to Haskell Indian Nations University Form Modified Available
Application for Admission to Haskell Indian Nations University Form Modified Repair queued
BIA-22 Privacy Act System of Record - Indian Student Records.pdf Supplementary Document Uploaded 2022-03-08 Available
30-Day Haskell 1076-0114.pdf Supplementary Document Uploaded 2021-03-26 Available
30-Day Haskell 1076-0114.pdf Supplementary Document Uploaded 2021-03-26 Repair queued
2021 Supporting Statement 1076-0114 (App for Haskell and SIPI).docx Supporting Statement A Uploaded 2022-03-08 Available
2021 Supporting Statement 1076-0114 (App for Haskell and SIPI) - FINAL.docx Supporting Statement A Uploaded 2021-03-16 Missing upstream
2020-Haskell and SIPI 60 day notice.pdf Supplementary Document Uploaded 2021-03-15 Available
2020-Haskell and SIPI 60 day notice.pdf Supplementary Document Uploaded 2021-03-15 Repair queued
BIA-22 Privacy Act System of Record - Indian Student Records.pdf Supplementary Document Uploaded 2012-03-12 Available
BIA-22 Privacy Act System of Record - Indian Student Records.pdf Supplementary Document Uploaded 2012-03-12 Repair queued
Public Law 99_228.pdf Supplementary Document Uploaded 2008-12-03 Available
Public Law 99_228.pdf Supplementary Document Uploaded 2008-12-03 Missing upstream
25 USCS 13.pdf Supplementary Document Uploaded 2008-10-22 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
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 ModifiedApplication for Admission Southwestern Indian Polytechnic Institute (SIPI)
187215 Application for admission to SIPI Form Modified
187215 Application for admission to SIPI Instruction Modified
11490 Application for Admission to Haskell Indian Nations University Form ModifiedApplication for Admission to Haskell Indian Nations University
11490 Application for Admission to Haskell Indian Nations University Form Modified
11490 Application for Admission to Haskell Indian Nations University Instruction Modified
ICR Details
1076-0114 202103-1076-004
Active 201711-1076-001
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 with change 03/09/2022
Retrieve Notice of Action (NOA) 03/26/2021
OMB approves this information collection for 3 years, but with the request that DOI/BIA continue to work to make the entire application process available online. The public has requested the application be accepted through online submission and DOI/BIA should work to make both online and by mail to application available in order to meet the needs of their prospective students. At the next approval stage, progress toward online applications should clearly be explained in the supporting statement. In addition, OMB requests that DOI/BIA reevaluate the type of medical information/evaluation requested in the “Clinical Record – Report of Medical Examination of School Children” and develop a medical evaluation form and collection medical information that is appropriate for young adults entering college level education.
  Inventory as of this Action Requested Previously Approved
03/31/2025 36 Months From Approved 03/31/2022
2,100 0 4,000
800 0 1,750
11,155 0 10,000
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
   Statute at Large: 99 Stat. 1747 Name of Statute: Blood Quantum Act
   Statute at Large: 48 Stat. 180 Name of Statute: Indian Appropriations of the 48th Congress
  
None
Not associated with rulemaking
  85 FR 76100 11/27/2020
86 FR 16235 03/26/2021
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 2,100 4,000 0 0 -1,900 0
Annual Time Burden (Hours) 800 1,750 0 0 -950 0
Annual Cost Burden (Dollars) 11,155 10,000 0 0 1,155 0
No
No
$88,142
No
    Yes
    Yes
No
No
No
No
Steven Mullen 202 924-2650 [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.
03/26/2021