Information Collection Request
Indian Affairs Public Health Needs Assessment
ICR 202210-1076-002 · OMB 1076-0200 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1076-0200 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
| Form and Instruction | New | Repair queued | |
| Form and Instruction | New | Repair queued | |
| Supplementary Document | Uploaded 2023-01-11 | Repair queued | |
| Supporting Statement B | Uploaded 2022-11-14 | Repair queued | |
| Supporting Statement A | Uploaded 2022-11-14 | Repair queued | |
| Supplementary Document | Uploaded 2022-10-07 | Repair queued | |
| Supplementary Document | Uploaded 2022-10-07 | Repair queued | |
| Supplementary Document | Uploaded 2022-10-07 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 256326 | Form and Instruction | New | ||
| 256325 | Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOI/BIA |
| OMB Control No | 1076-0200 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | IAFR001153 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |