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Federal forms, ICRs, and supporting documents

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

IC 6586 under ICR 202201-0917-002 · OMB 0917-0028.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
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Information Collection (IC) Details

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IHS Background Investigation of Individuals in Positions Involving Regular Contact with or Control Over Indian Children 0917-0028
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
42 CFR 136.401-418

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0028 Final Addendum to Declaration of Federal Employment Final_AddendumtoDeclarationorFederalEmploymentOGCPHD final copy 9.20.18.doc https://www.ihs.gov/jobs/ Yes No Fillable Printable

Workforce Management Training and Employment

 

3,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 600 0 0 0 0 600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Declaration for Federal Employment (OPM OF 306; OMB No. 3206-0182) OMB Form No. 3206-0182 0306[1].pdf 06/11/2012
60 Day FRN 2018-20989.pdf 11/28/2018
30 day FRN 2018-25819.pdf 11/28/2018
Supporting Statement 0917-0028_Supporting_Statement_A__2018.doc 11/28/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.