Application for Job Placement and Training Services

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BIA 8205 Application for Job Placement and/or Training Application	Form and Instruction	New	Available
Form BIA 8205 Application for Job Placement and/or Training Assistance	Form and Instruction	Modified	Available
E7-23723-AVT 30 day..pdf	Supplementary Document	Uploaded 2007-12-07	Available
job placement training 1076-0062.pdf	Supplementary Document	Uploaded 2007-08-30	Available
OMBJustifJP&T3-3-2008..rtf	Supporting Statement A	Uploaded 2008-03-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181833	OJTraining approved, 25 CFR 27.9		New
181832	Report of progress, 25 CFR 27.6		New
181831	Application requirements for training, 25 CFR 27.4	Form and Instruction	New	Application for Job Placement and/or Training Application
181830	details of job possibilities, 25 CFR 26.6		New
11457	Application for Job Placement services, 25 CFR 26.4	Form and Instruction	Modified	Application for Job Placement and/or Training Assistance

ICR Details

OMB Control No: 1076-0062	ICR Reference No: 200708-1076-002
Status: Historical Active	Previous ICR Reference No: 200403-1076-002
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Application for Job Placement and Training Services
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/27/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/13/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2011	36 Months From Approved
Responses	19,600	0	0
Time Burden (Hours)	9,800	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This form requests information on the age, marital status, employment, education and income of applicant for training or job placement services. This information is used to determine applicant's eligibility and amount of financial assistance needed.

---

Authorizing Statute(s): US Code: 25 USC 13
   Statute at Large: 70 Stat. 986
   Statute at Large: 77 Stat. 471
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 37043	07/06/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 69224	12/07/2007
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Application for Job Placement services, 25 CFR 26.4	BIA 8205	Application for Job Placement and/or Training Assistance
Application requirements for training, 25 CFR 27.4	BIA 8205	Application for Job Placement and/or Training Application
OJTraining approved, 25 CFR 27.9
Report of progress, 25 CFR 27.6
details of job possibilities, 25 CFR 26.6

---

ICR Summary of Burden

table that charts list of burden

	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	19,600	0	0	13,620	1,080	4,900
Annual Time Burden (Hours)	9,800	0	0	6,810	540	2,450
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden was reduced due to expiration of the information collection, but is now an increase because although the law only requires an annual reporting on program status, the Government Performance Results Act requires quarterly reports.

---

Annual Cost to Federal Government: $3,840

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/13/2007

---