Information Collection

Student Enrollment Application

IC 11496 under ICR 202301-1076-001 · OMB 1076-0122.

Documents and Forms

Document Name Document Type
Student Enrollment Application Form and Instruction
Student Enrollment Application for Students Enrolled in Student Enrollment Application Form_091721.pdf Form and Instruction
Student Enrollment Application for Students Enrolled in Student Enrollment Application Form_091721.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Student Enrollment Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 32 25 CFR 39

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Student Enrollment Application for Students Enrolled in Bureau-Funded Schools	Student Enrollment Application Form_091721.pdf		Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title: BIA-22 "Indian Student Records"	FR Citation: 73 FR 40605

Number of Respondents: 48,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	48,000	48,000
Annual IC Time Burden (Hours)	12,000	12,000
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.