Information Collection

Application for Admission to Haskell Indian Nations University

IC 11490 under ICR 200810-1076-003 · OMB 1076-0114.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0114 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application for Admission to Haskell Indian Nations University	Form
hinu page 3.doc	Other-null
Haskell Application for Admission Admissions_Application_06-12-HINU.doc	Form

IC Title:

Application for Admission to Haskell Indian Nations University

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 25 CFR 40

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
Form	n/a	Haskell Application for Admission	Admissions_Application_06-12-HINU.doc		No		Paper Only
Other-null			hinu page 3.doc		No		Paper Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	-2,943	3,943
Annual IC Time Burden (Hours)	500	-1,714	2,214
Annual IC Cost Burden (Dollars)	10,000	-5,000	15,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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