Information Collection

Application for admission to SIPI

IC 187215 under ICR 202103-1076-004 · OMB 1076-0114.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0114 can be found here:

Documents and Forms

Document Name Document Type
Application for admission to SIPI Form
Application for Admission Southwestern Indian Polytechnic Institute (SIPI) Application for admission to SIPI Form
Admissions Instructions for SIPI Application (002).docx www.sipi.edu/apps/pages/apply Instruction
Admissions Instructions for SIPI Application (002).docx www.sipi.edu/apps/pages/apply Instruction
Application for Admission Southwestern Indian Polytechni SIPI Application.pdf www.sipi.edu/apps/pages/apply Form
Application for Admission Southwestern Indian Polytechni SIPI Application.pdf www.sipi.edu/apps/pages/apply Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for admission to SIPI	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 25 CFR 32

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	Application for Admission Southwestern Indian Polytechnic Institute (SIPI)	SIPI Application.pdf	https://www.sipi.edu/apps/pages/apply	Yes	No	Fillable Printable
Instruction			Admissions Instructions for SIPI Application (002).docx	https://www.sipi.edu/apps/pages/apply	Yes	No	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title: BIA - 22 "Indian Student Records"	FR Citation: 73 FR 40605

Number of Respondents: 1,100	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,100	-1,900	3,000
Annual IC Time Burden (Hours)	550	-950	1,500
Annual IC Cost Burden (Dollars)	605	605	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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