Information Collection

Membership nomination form

IC 198397 under ICR 202212-1076-005 · OMB 1076-0179.

Documents and Forms

Document Name Document Type
Form Membership Nominat Membership nomination form Form and Instruction
Membership Nominat Membership Nomination Form BIE Advisory-Board-Membership-Nomination-Form.pdf www.bia.gov/policy-forms/online-forms/paperwork-reduction-act Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Membership nomination form	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	Membership Nomination Form	Membership Nomination Form	BIE Advisory-Board-Membership-Nomination-Form.pdf	https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: Employee Administrative Records	FR Citation: 64 FR 19384

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	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.