Information Collection

Application for Admission to Haskell Indian Nations University

IC 11490 under ICR 202405-1076-016 · OMB 1076-0114.

Documents and Forms

Document Name Document Type
Application for Admission to Haskell Indian Nations University Form
Haskell Application OMB-Control-No-1076-0114_Haskell_Application_508.pdf www.bia.gov/policy-forms/online-forms/paperwork-reduction-act Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Admission to Haskell Indian Nations University	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 25 CFR 32

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Haskell Application	OMB-Control-No-1076-0114_Haskell_Application_508.pdf	https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Fileable Signable

Line of Business: Education

Subfunction: Higher Education

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

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,000	0	1,000
Annual IC Time Burden (Hours)	250	0	250
Annual IC Cost Burden (Dollars)	0	-10,550	10,550

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.