Information Collection

Statistical Report and Instructions

IC 213828 under ICR 202104-1076-002 · OMB 1076-0135.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0135 can be found here:

Documents and Forms

Document Name Document Type
Statistical Report and Instructions Form and Instruction
Statistical Report and Instructions 477 Statistical Report and Instructions.docx www.bia.gov/bia/ois/dwd Form and Instruction
Statistical Report and Instructions 477 Statistical Report and Instructions.docx www.bia.gov/bia/ois/dwd Form and Instruction
477 Cost Categories FINAL.pdf Functional Cost Categories IC Document
477 Cost Categories FINAL.pdf Functional Cost Categories IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statistical Report and Instructions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	Statistical Report and Instructions	477 Statistical Report and Instructions.docx	https://www.bia.gov/bia/ois/dwd	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: BIA-8, Indian Social Services Case Management System	FR Citation: 55 FR 34085

Number of Respondents: 71	Number of Respondents for Small Entity: 64

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	71	7	64
Annual IC Time Burden (Hours)	426	42	384
Annual IC Cost Burden (Dollars)	355	35	320

Documents for IC

Title	Document	Date Uploaded
Functional Cost Categories	477 Cost Categories FINAL.pdf	11/12/2014

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