APPLICATION FOR SIOUX BENEFITS

ICR 198310-1076-001

OMB: 1076-0004

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
118615 Migrated
ICR Details
1076-0004 198310-1076-001
Historical Active 198107-1076-001
DOI/BIA
APPLICATION FOR SIOUX BENEFITS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/15/1983
Retrieve Notice of Action (NOA) 10/17/1983
  Inventory as of this Action Requested Previously Approved
11/30/1986 11/30/1986
260 0 0
130 0 0
0 0 0

REQUIRED AS A RESULT OF A SUIT BROUGHT AGAINST THE BIA BY SOUTH DAKOTA LEGAL SERVICES ON BEHALF OF A CHEYENNE RIVER SIOUX, CLAIMING THAT THE POLICIES AND REGULATIONS OF THE BIA UNCONSTITUTIONALLY DISCRIMINATED AGAINST WOMEN ON THE BASIS OF SEX. THE LITIGATION IS BEING RESOLVED B REVISING THE REGULATIONS THEREBY PERMITTING PLAINTIFF TO REAPPLY FOR SIOUX BENEFITS UNDER A NONDISCRIMINATORY, SEX-NEUTRAL STANDARD.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR SIOUX BENEFITS X-BIA-4210

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 260 0 0 0 260 0
Annual Time Burden (Hours) 130 0 0 0 130 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/17/1983


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