OMB control number

Application for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute

OMB 1076-0114 · DOI/BIA.

OMB 1076-0114

These forms are used to collect information to determine eligibility of respondent for admission to post secondary education administered by the Bureau of Indian Education.

The latest form for Application for Admission to Haskell Indian Nations University and to Southwestern Indian Polytechnic Institute expires 2026-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Application for admission to SIPI Form
Application for Admission to Haskell Indian Nations University Form
90 FR 10938.pdf Supplementary Document
89 FR 52076.pdf Supplementary Document
BIA-22 Privacy Act System of Record - Indian Student Records.pdf Supplementary Document
IAFR001322__OMB1076-0114_SSA.docx Supporting Statement A
BIA-22 Privacy Act System of Record - Indian Student Records.pdf Supplementary Document
Public Law 99_228.pdf Supplementary Document
25 USCS 13.pdf Supplementary Document
Public Law 95_561.pdf Supplementary Document
Application for admission to SIPI Form
Application for Admission to Haskell Indian Nations University Form

All Historical Document Collections

202405-1076-016	Revision of a currently approved collection	2025-02-28
202103-1076-004 Approved with change	Revision of a currently approved collection	2021-03-26
201711-1076-001 Approved without change	Revision of a currently approved collection	2018-01-24
201507-1076-002 Approved without change	Extension without change of a currently approved collection	2015-08-25
201202-1076-003 Approved without change	Extension without change of a currently approved collection	2012-03-30
200810-1076-003 Approved without change	Extension without change of a currently approved collection	2008-12-24
200510-1076-002 Approved without change	Extension without change of a currently approved collection	2005-10-28
200208-1076-002 Approved without change	Extension without change of a currently approved collection	2002-08-27
200111-1076-001 Approved without change	Reinstatement with change of a previously approved collection	2001-11-29
199012-1076-001 Approved without change	Reinstatement with change of a previously approved collection	1990-12-14
198701-1076-003 Approved without change	New collection (Request for a new OMB Control Number)	1987-01-05

OMB Details

Application for Admission to Haskell Indian Nations University

Federal Enterprise Architecture: Education - Higher Education

Form		www.haskell.edu/downloads/admission/Admissions%20Application_proof2_7-18-13.pdf	Instruction
Form N/A	Application for Admission to Haskell Indian Nations University	www.haskell.edu/downloads/admission/Admissions%20Application_proof2_7-18-13.pdf	Form

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