OMB control number

Financial Assistance & Social Services Program, 25 CFR 20

OMB 1076-0017 · DOI/BIA.

OMB 1076-0017

The information collection allows BIA to determine whether an individual is eligible for assistance and services under 25 CFR part 20 when comparable financial assistance or social services either are not available or not provided by State, Tribal, county, local, or other Federal agencies. No third-party notification or public disclosure burden is associated with this collection.

The latest form for Financial Assistance & Social Services Program, 25 CFR 20 expires 2027-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 5-6602 Information for ISP Form and Instruction
Form 5-6601 Financial Assistance & Social Services Application Form and Instruction
89 FR 14898.pdf Supplementary Document
(88 FR 879)(Publication Date 01-05-2023).pdf Supplementary Document
SORN BIA-8.pdf Supplementary Document
IAFR001311_1076-0017_SSA.docx Supporting Statement A
25 CFR 20.rtf Supplementary Document
SSAS PIA.pdf Supplementary Document
Information for ISP Form and Instruction
Financial Assistance & Social Services Application Form and Instruction

All Historical Document Collections

202212-1076-010	Extension without change of a currently approved collection	2024-02-29
202006-1076-002	Revision of a currently approved collection	2020-07-02
201705-1076-003 Approved without change	Extension without change of a currently approved collection	2017-06-29
201403-1076-003 Approved without change	Extension without change of a currently approved collection	2014-05-19
200911-1076-001 Approved without change	Revision of a currently approved collection	2011-03-22
200805-1076-001 Approved without change	Extension without change of a currently approved collection	2008-08-04
200507-1076-001 Approved with change	Extension without change of a currently approved collection	2005-07-13
200205-1076-001 Approved without change	Extension without change of a currently approved collection	2002-05-22
199903-1076-002 Approved without change	Reinstatement with change of a previously approved collection	1999-03-31
199209-1076-001 Approved without change	Reinstatement with change of a previously approved collection	1992-09-02
199005-1076-002 Approved without change	Reinstatement with change of a previously approved collection	1990-05-30
198809-1076-002 Approved without change	Reinstatement with change of a previously approved collection	1988-09-22
198507-1076-002 Approved without change	Reinstatement with change of a previously approved collection	1985-07-19
198201-1076-002 Approved without change	New collection (Request for a new OMB Control Number)	1982-01-06

OMB Details

Financial Assistance & Social Services Application

Federal Enterprise Architecture: Community and Social Services - Social Services

Form 5-6601

Application for Financial Assistance and Social Services

www.bia.gov/policy-forms/online-forms/paperwork-reduction-act

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.