(25 CFR 21.6) "FINANCIAL STATEMENT" FROM A STATE OR OTHER AGENCY PURSUANT TO A CONTRACT WITH THE BUREAU OF INDIAN AFFAIRS

ICR 198610-1076-002

OMB: 1076-0110

Federal Form Document

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Document
Name
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No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1076-0110 198610-1076-002
Historical Active
DOI/BIA
(25 CFR 21.6) "FINANCIAL STATEMENT" FROM A STATE OR OTHER AGENCY PURSUANT TO A CONTRACT WITH THE BUREAU OF INDIAN AFFAIRS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/01/1986
Retrieve Notice of Action (NOA) 10/08/1986
  Inventory as of this Action Requested Previously Approved
11/30/1989 11/30/1989
3 0 0
24 0 0
0 0 0

ANY STATE OR AGENCY WHICH HAS CONTRACTED WITH THE BUREAU SHALL THIRTY DAYS AFTER THE CLOSE OF EACH FISCAL YEAR PROVIDE THE BUREAU AN ANALYSIS OF FINANCIAL EXPENDITURES MADE PURSUANT TO THAT CONTRACT.

None
None


No

1
IC Title Form No. Form Name
(25 CFR 21.6) "FINANCIAL STATEMENT" FROM A STATE OR OTHER AGENCY PURSUANT TO A CONTRACT WITH THE BUREAU OF INDIAN AFFAIRS

  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 3 0 0 0 3 0
Annual Time Burden (Hours) 24 0 0 0 24 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.
10/08/1986


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