The agency may
only use the version of the form currently approved by OMB, as
included in this information collection request. Any other versions
of this form are not currently approved and may not be used. All
Courts of Indian Offenses must use the currently approved form or
submit their individual forms for review.
Inventory as of this Action
Requested
Previously Approved
08/31/2005
08/31/2005
06/30/2002
260
0
260
65
0
65
0
0
0
Basic information is requested of
applicants for the issuance of a marriage license or the
dissolution of a marriaged by a Court of Indian Offenses under 25
CFR 11.
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.