Information Collection

(25 Cfr 21.6) "financial Statement" From A State Or Other Agency Pursuant To A Contract With The Bureau Of Indian Affairs

IC 118773 under ICR 199009-1076-005 · OMB 1076-0110.

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IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.