OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

IHS Background Investigations of Individuals in Positions Involving Regular Contact with or Control Over Indian Children

ICR 202201-0917-002 · OMB 0917-0028 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0917-0028 IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian Children Form and Instruction Unchanged Available
Final_AddendumtoDeclarationorFederalEmploymentOGCPHD final copy 9.20.18.doc Supplementary Document Uploaded 2018-11-28 Repair queued
0917-0028_Supporting_Statement_A__2022 FINAL 2.24.22.docx Supporting Statement A Uploaded 2022-02-24 Repair queued
Title_42_chap_132_13041._Requirement_for_background_checks[1].doc Supplementary Document Uploaded 2012-06-11 Available
USCODE-2011-title25-chap34-sec3207.pdf Supplementary Document Uploaded 2012-06-11 Repair queued
OMB Form No. 3206-0182 0306[1].pdf Supplementary Document Uploaded 2012-06-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
6586 IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian Children Form and Instruction Unchanged
ICR Details
0917-0028 202201-0917-002
Received in OIRA 201811-0917-002
HHS/IHS 0917-0028
IHS Background Investigations of Individuals in Positions Involving Regular Contact with or Control Over Indian Children
Extension without change of a currently approved collection   No
Regular 02/24/2022
  Requested Previously Approved
36 Months From Approved 02/28/2022
3,000 3,000
600 600
0 0
To collect information needed to determine whether a prospective or current employee that has regular contact with or control over Indian children meets the minimum standards or character and to conduct background investigation.
US Code: 42 USC 13041 Name of Law: Public Health and Welfare Act, Requirement for Background Checks
   PL: Pub.L. 101 - 630 408 Name of Law: Indian Child Protection and Family Violence Prevention Act
   PL: Pub.L. 106 - 568 814 Name of Law: Technical Amendment to the Indian Child Protection and Family Violence Protection Act
   US Code: 25 USC 3201-3211 Name of Law: Indian Child Protection and Family Violence Prevention
  
None
Not associated with rulemaking
  86 FR 70853 12/13/2021
87 FR 10218 02/23/2022
No
  Total Request 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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 600 600 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,800
No
    Yes
    Yes
No
No
No
No
Evonne Bennett 301 443-4750
  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.
02/24/2022